INFORMATION

General Notice, the FMLA poster
Employee FMLA Guide

FORMS: for Federal FMLA

Employee’s serious health condition, form WH-380-E - when a leave request is due to the medical condition of the employee.
Family member’s serious health condition, form WH-380-F - Use when a leave request is due to the medical condition of the employee’s family member. 

Qualifying Exigency, form WH-384 – when the leave request arises out of the foreign deployment of the employee’s spouse, son, daughter, or parent. 

Military Caregiver Leave of a Current Servicemember, form WH-385 – use when requesting leave to care for a family member who is a current service member with a serious injury or illness. 

Military Caregiver Leave of a Veteran, form WH-385-V – use when requesting leave to care for a family member is who a covered veteran with a serious injury or illness. 

Help for health care providers – This flier guides healthcare providers through FMLA rules concerning medical certifications. It’s a handy tool that medical professionals can use to make sure patients’ and family caregivers’ employment is protected as they deal with serious health conditions.

CONNECTICUT PAID LEAVE - non-certified staff only!

Connecticut Paid Leave Notice
The Authority - Applying for CT Paid Leave Benefits

FORMS: for Connecticut FMLA - non-certified staff only!

CT FMLA - Employee Serious Health Condition
CT FMLA - Family Member's Serious Health Condition
- Family Member Verification Form

CT FMLA for Serious Injury/Illness of a Current Servicemember for Military Caregiver Leave

Certification for Military Leave for Qualifying Exigency under the Family and Medical Leve Act.

Ct Department of Labor:  CT FMLA