Human Resources Business Rules and Regulations
Page 6 of 18
-
Extension of the Agreed upon language concerning Executive Order 13G (E-Item 2815)
-
Extension of the Agreed upon language concerning the Negotiated Final Telework Policy (E-Item 2829)
-
FLSA Review and Core-CT FLSA Coding Assignments
-
Family and Medical Leave Entitlements Manual
The official Family and Medical Leave Entitlements Manual for state HR professionals
-
Federal Per Diem Rates for Travel in the United States - September 2016
-
FMLA - Core-CT Coding Form - FMLA-HR2c
Form to be completed by agency human resources when the employee has been approved for family leave, medical leave or military family leave and is attached to the employee's HR2b - Designation Notice.
-
FMLA - Employee's Intent to Return to Work Form - FMLA-HR-3
Form to be completed by the employee indicating his/her intent to return to work prior to taking family leave, medical leave or military family leave.
-
FMLA - Extension of 2017 SEBAC Item No. 2495-E
Extension of the Family and Medical Leave language of the SEBAC Agreement to Employees Exempt from Collective Bargaining
-
FMLA - Military Exigency for Family Form - WH-384
Form to be completed by agency and then employee seeking FMLA leave due to a qualifying exigency due to a military member’s covered active duty or call to covered active duty status
-
FMLA - Military Family Leave - Med Certificate for Military Family Member - WH-385
Form to be completed by an agency, employee and then health care provider when an employee requests leave under the FMLA to care for a family member who is a current member of the Regular Armed Forces, the National Guard, or the Reserves who is undergoing medical treatment, recuperation, or therapy, is otherwise in outpatient status, or is otherwise on the temporary disability retired list for a serious injury or illness.
-
FMLA - Military Family Leave - Med Certificate for Veteran Family Member - WH-385V
Form to be completed by an employee and then health care provider when the employee seeks military caregiver leave under the FMLA leave due to a serious injury or illness of a covered veteran; this certification must provide sufficient facts to support the request for leave.
-
FMLA Agency Response Designation Notice - FMLA-HR-2b
Form to be completed by agency human resources department notifying employee of the disposition of the employee's request for family leave, medical leave or military family leave.
-
FMLA Agency Response Eligibility Notice to Employee - FMLA-HR-2a
Form to be completed by agency human resources department notifying employee of his/her eligibility in response to employee's request for family leave, medical leave or military family leave.
-
FMLA Caregiver Medical Certificate P-33B
Form to be used by employees seeking family leave to care for a spouse, child, or parent with a “serious health condition". Form must be completed by family member's attending medical provider.