FMLA Forms West Virginia

West Virginia University adheres to the requirements of the federal Family Medical Leave Act (FMLA). FMLA is designed to help employees balance their work and family responsibilities by allowing them to take reasonable unpaid leave for certain family and medical reasons. It also seeks to accommodate the legitimate interests of employers and promote equal employment …

West Virginia FMLA And Leave Law Guidelines And Requirements The Family & Medical Leave Act (FMLA) is a federal law that applies to employer organizations with 50 or more employees for 20 or more workweeks in the current or previous calendar year. The Family & Medical Leave Act does not take the place of other sources of leave, including West Virginia‘s FMLA and other …

West Virginia Leave of Absence (FMLA): What you need to know Paid Family Leave/State FMLA Equivalent In addition to the federal Family and Medical Leave Act (FMLA), some states have their own comprehensive family leave laws that may also require employers to grant employees time off for the birth or adoption of a child or to care for a family member with a …

FORM DOP-L7 Page 1 of 4 01/03/ 11 STATE OF WEST VIRGINIA FEDERAL FAMILY and MEDICAL LEAVE ACT (FMLA) Certification for Serious Injury or Illness of Covered Servicemember (for Military Family Leave) Notice to the EMPLOYER INSTRUCTIONS to the EMPLOYER: The federal Family and Medical Leave Act (FMLA) provides that an employ er …

West Virginia. Public Employees Insurance Agency. Benefitting People Who Serve. Manage My Benefits. Menu. Members. Active Members; Non-Medicare Retiree; Medicare Retiree; Health Plans . PPB Plans A, B & D; PPB Plan C; The Health Plan; Medicare Advantage Plan; Partners. Benefit Coordinators; CVS/Caremark; Finance Board; Health Care Providers; Humana; …

Family and Medical Leave Act/Parental Leave Act (FMLA/PLA) Court, Jury, and Hearing Leave ; Pay; Stateline Newsroom; Workers’ Compensation; WV Division of Personnel > State Employees > Leave Information and Forms > Leave Forms. Leave Forms. Click on the form number to access the form. The forms will open in Adobe Acrobat Reader, and most may be completed …

FORM DOP-L9 Page 1 of 4 07/09/11 STATE OF WEST VIRGINIA FEDERAL FAMILY and MEDICAL LEAVE ACT (FMLA) and/or STATE PARENTAL LEAVE ACT (PLA) Notice of Eligibility and Rights and Responsibilities In general, to be eligible for federal Family and Medical Leave Act (FMLA) leave, an employee must have worked for an employer for at least 12 months, have …

This form must be completed by a licensed healthcare provider. Employees that are absent from work due to their immediate family member’s medical condition for more than (five) 5 consecutive work days are required to provide a completed Immediate Family Member Medical Verification Form to the Medical Management Unit. Immediate family member is …

FMLA/PLA Comparison Chart: A chart comparing and contrasting, in a general way, the provisions of the federal Family and Medical Leave Act and the West Virginia Parental Leave Act. FMLA/PLA Decision-Making Flowchart: A tool to assist supervisors and employees in making decisions about leave eligibility and administration.