FMLA Forms 2022

WH-2 & WH-46 Forms & Instructions; WH-4: H-1B Nonimmigrant Information Form. WH-4 Form & Instruction; WH-5: Certificate of Training Form. WH-5 (PDF) WD-10: DBRA Report of Construction Contractor’s Wage Rates . WD-10 Instructions; WD-10; WH-75: Homeworker Handbook. WH-75 (PDF) WH-75 Spanish (PDF) WH-200, WH-201, and WH-202: Applications for Authority to …

Employer Instructions and Forms When you become aware of an employee’s need for family or medical leave* complete the following: Provide the employee with a Request for Family/Medical Leave under the FMLA form. Have the employee complete the form and return it to their supervisor or other designated company representative for approval or denial of leave. After …

New York State Paid Family Leave is insurance that may be funded by employees through payroll deductions. The contribution remains at just over half of one percent of an employee’s gross wages each pay period. The maximum annual contribution for 2022 is $423.71. Employees earning less than the current Statewide Average Weekly Wage (SAWW) of …

Family and Medical Leave Act. The FMLA entitles eligible employees of covered employers to take unpaid, job-protected leave for specified family and medical reasons with continuation of group health insurance coverage under the same terms and conditions as if the employee had not taken leave. Eligible employees are entitled to: Twelve workweeks …

Employee has 8 weeks of leave immediately available as of May 1, 2022. Employee will have an additional 4 weeks of leave available after July 1, 2022, as the days start dropping off and become available for use. First day of leave going forward – 12-month period measured forward from the first date an employee takes CTFMLA leave.

In general, to be eligible to take leave under the Family and Medical Leave Act (FMLA), an employee must have worked for an employer for at least 12 months, meet the hours of service requirement in the 12 months preceding the leave, and work at a site with at least 50 employees within 75 miles. While use of this form is optional, a fully completed Form WH -381 provides …