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Wh-382 Form: What You Should Know

The instructions for the family medical leave form state: “This form must include the following information for a request to take FMLA leave. If any of the information is incorrect, the employer must explain why this was not correct.” A copy of the completed form is provided if the employer doesn't make any changes to the final form in accordance with 29 C.F.R. §§ 825.301  (a) and 825.302. WH-382 — Family Medical Leave, Employer's Duty to Provide. If the employer changes any information provided in the final form by completing any section of the form, the employer must notify the employee by means of a notice addressed to them within 14 days after the changes are made and provide them with a copy of the corrected form if different from the original. (b) and 825.305. WH-382 — Request for Family Medical Leave, Employer's Duty to Disclose. If an employer changes any information provided in the final form by completing any section of the form, the employer must forward the corrected form to the Department of Labor within 30 days after the changes are made and provide the employee a copy if different from the original. If the initial version provides less information than the corrected version, the employer may provide the corrected version when the employee first seeks FMLA leave and then again when they seek to take FMLA leave. (c) and 825.3045. WH-382 — Requests for Family Medical Leave, Additional Disclosure Requirement. If an employer makes any changes to the information provided in the final form by completing any section of the form, the employer must provide the employee with a notice addressed to them within 14 days after those changes are made and provide them with all the same information and documentation they received under subparts B or C of this part. This includes, but is not limited to, the form or final form and any notice of approval for parental leave required under subpart C of this part. If the employer does not change the form prior to the time that an employee takes leave under this part for a Pre-qualifying reason, the employer is not required to provide the employee with the original Form WH-382 or a copy of any other documentation, unless the employee provides it to the employer with the request. (d) and 825.

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FAQ - Wh-382

How does FMLA work in CT?
The state of Connecticut FMLA allows up to 16 weeks of unpaid leave in a 24-month period (or up to 24 weeks if you are a state of Connecticut employee). Pregnancy. The Connecticut FMLA allows up to 12 weeks of unpaid leave in a 12-month period.
How much does FMLA pay in Massachusetts?
Your benefits payment is based on your individual average weekly wage, the state average weekly wage for Massachusetts workers, and the type of leave you are taking. The maximum weekly benefit is $1,084.31.
How does FMLA work in MA?
Benefits Provided Paid family and medical leave provides Massachusetts employees with up to 12 weeks of job-protected, paid family leave, up to 20 weeks of job-protected, paid medical leave, or up 26 weeks of combined family and medical leave in a benefit year.
How do I apply for FMLA in Florida?
Applying for FMLA The employee's health care provider must complete a certification form that validates the employee's serious health condition or that of an immediate family member. The employee must provide this certification to the employer within 15 calendar days of receiving it.
Is CT FMLA still 16 weeks?
Compliance Snapshot. Connecticut's Family and Medical Leave Act (CT FMLA) applies to employers with 75 or more employees nationwide and entitles eligible employees to a total of 16 workweeks of unpaid leave during any 24-month period.
What conditions qualify for FMLA leave?
In order to be eligible to take leave under the FMLA, an employee must (1) work for a covered employer, (2) work 1,250 hours during the 12 months prior to the start of leave, (3) work at a location where 50 or more employees work at that location or within 75 miles of it, and (4) have worked for the employer for 12 ...
Who pays CT family leave?
Contributions to the CT Paid Leave fund are made by each employee in the amount of one-half of one percent (0.5%) of his or her salary (taken as a deduction from each paycheck), up to the Social Security contribution limit.
Is FMLA in California paid?
If eligible, you can receive benefit payments for up to eight weeks. Payments are about 60 to 70 percent of your weekly wages earned 5 to 18 months before your claim start date. You will receive payments by debit card or check 14 it's your choice!
How many weeks of FMLA do you get in CT?
A paid family leave law described as one of the most generous in the country goes into effect for Connecticut workers on January 1, 2023. Workers will be able to take 12 weeks of paid leave in 12 months for personal and family health needs.
What qualifies for CT FMLA?
To be eligible for leave, an employee needs to be employed by a Connecticut employer for at least three consecutive months (defined as 13 weeks) immediately preceding the date the employee's CT FMLA leave will commence. Previously, an employee was required to be employed for a period of 12 months.
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