Connecticut
Updated to reflect domestic violence victim protections effective October 1, 2022.
As mandated by the Connecticut Department of Labor, covered employers must provide written notices of eligibility and rights and responsibilities under the Connecticut Family and Medical Leave Act (CTFMLA) to employees, and may use this prototype combined form for that purpose.
As mandated by the Connecticut Department of Labor, covered employers under the Connecticut Family and Medical Leave Act (CTFMLA) must notify employees in writing whether requested leave will be approved, and may use this prototype form for that purpose.
As recommended by the Connecticut Department of Labor, covered employers may require employees requesting leave due to their own serious health condition under the Connecticut Family and Medical Leave Act (CTFMLA) to submit medical certification supporting the need for leave, and may use this optional form for that purpose.
As recommended by the Connecticut Department of Labor, covered employers may require employees requesting leave to care for a family member with a serious health condition under the Connecticut Family and Medical Leave Act (CTFMLA) to submit medical certification supporting the need for leave, and may use this optional form for that purpose.
As recommended by the Connecticut Department of Labor, covered employers may require employees requesting leave to care for a family member under the Connecticut Family and Medical Leave Act (CTFMLA) to provide a signed statement verifying the relationship, and may use this optional form for that purpose.
As recommended by the Connecticut Department of Labor, covered employers may require employees requesting leave to care for a covered servicemember under the Connecticut Family and Medical Leave Act (CTFMLA) to submit medical certification supporting the need for leave, and may use this optional form for that purpose.
Updated to reflect law regarding captive audience" meetings, effective July 1, 2022.