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State of Connecticut Human Resources Employee Request For Leave of Absence Under the Federal Family and Medical Leave Act (FMLA) and/or State C. G. S. 5-248a (Family and medical leave from employment)
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FMLA-HR1 is a specific form used by the Connecticut Department to report information related to the Family and Medical Leave Act (FMLA) for employees.
Employers in the state of Connecticut are required to file the FMLA-HR1 form with the Connecticut Department for each covered employee.
To fill out the FMLA-HR1 form for the Connecticut Department, employers need to provide information about the covered employee, such as their name, employee ID, and employment start date. They also need to report the type of leave being taken, the start and end dates, and any applicable certifications or medical documentation.
The purpose of the FMLA-HR1 form for the Connecticut Department is to track and monitor the use of FMLA leave by employees to ensure compliance with state regulations.
The FMLA-HR1 form for the Connecticut Department requires employers to report information such as the covered employee's name, employee ID, employment start date, type of leave being taken, start and end dates of the leave, and any relevant certifications or medical documentation.
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