Los Angeles, CA 90017-3446, (213) 894-6375 An employee who is caring for a family member who is more than 3 years of age at the time of certification may request Family and Medical Leave for the other family member(s) who is less than three (3) years of age. Suite 990 Assistant News Director. div#block-eoguidanceviewheader .dol-alerts p {padding: 0;margin: 0;} 230 S. Dearborn Street Suite 1780 Tucson, AZ 85001-1390, 520-449-8450 1-866-4-USWAGE (1-866-487-9243). (1-866-487-9243), U.S. Department of Labor If you have difficulty in obtaining the Paid Family Leave forms or need help in completing these forms, please contact the PFL Helpline at (844)-337-6303. @media (max-width: 992px){.usa-js-mobile-nav--active, .usa-mobile_nav-active {overflow: auto!important;}} Wage and Hour Division (1-866-487-9243), U.S. Department of Labor For additional security, we need to verify your identity before you can sign in to the account. 1-866-4-USWAGE Please check your spelling or try another term. Kansas City, MO 64108, (913) 551-5721 (1-866-487-9243), U.S. Department of Labor Milwaukee, WI 53203, 414-297-1590 1-866-4-USWAGE If you have not received the code or still have trouble signing in, please call member services. (1-866-487-9243), U.S. Department of Labor Suite 410 U.S. Department of Labor 1-866-4-USWAGE 725 The .gov means its official. All Paid Family Leave Forms Filter Options 395 W Spruce Ave Wage and Hour Division 1-866-4-USWAGE FMLA FMLA Medical Certificate FAQs-Full Time Employees FAQs-Part Time Employees OSHA Retiree Resources SEC-1 (Workplace Violence Incident Report Form) Workers Compensation. Skimming through can give you a heads-up on what to expect based on other employers experiences. Manage my business policy, bills and claims, get certificates and submit audits. Providence, RI 02903, 401-528-4431 The employee must have also worked 1,250 hours for their current employer in the previous 12 months and 50 percent of time scheduled. 331 Second Avenue South .manual-search ul.usa-list li {max-width:100%;} 130 S Elmwood Avenue Federal government websites often end in .gov or .mil. Suite 112 #block-googletagmanagerheader .field { padding-bottom:0 !important; } Each time employers are required to provide the eligibility notice, they must also provide employees with a rights and responsibilities notice, notifying employees of their obligations concerning the use of FMLA leave and the consequences of failing to meet those obligations. Social Security Waiver. Submit claims, check status of disability or leave, and see payments. Thornberry Federal Building Frequently asked questions . The .gov means its official. Employers may use Form WH-381, which is available at no cost from the WHD website at www.dol.gov/agencies/whd/fmla, to provide notice of eligibility and rights and responsibilities. Suite 1170 Phone Number; Fair Labor Standards Act (FLSA) 1-866-487-9243* Family Medical and Leave Act (FMLA) 202-693-0066. P.O Box 43006
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