Download 2021 Leave Account Form

[Mirthe Sinkey]

<div>Download employee resources to learn more about leave to care for a family member, how to apply, and Paid Family and Medical Leave (PFML) benefits overall. These downloads are available in English, Español, Português, Simplified Chinese, and Haitian Creole.</div><div></div><div></div><div></div><div></div><div></div><div>download leave account form</div><div></div><div>DOWNLOAD: https://t.co/Cldy0xKesz </div><div></div><div></div><div>Under the Voluntary Leave Transfer Program (VLTP), a covered employee may donate annual leave directly to another employee who has a personal or family medical emergency and who has exhausted his or her available paid leave. Each agency must administer a voluntary leave transfer program for its employees. There is no limit on the amount of donated annual leave a leave recipient may receive from the leave donor(s). However, any unused donated leave must be returned to the leave donor(s) when the medical emergency ends. An employee may participate concurrently in both the VLTP and the Voluntary Leave Bank Program, if available.</div><div></div><div></div><div>A medical emergency is a medical condition of either the employee or the employee's family member (see below) that is likely to require the employee to be absent from duty for a prolonged period and to result in a substantial loss of income because of the employee's lack of available paid leave.</div><div></div><div></div><div>Note: The threshold for "a substantial loss of income" is absence (or expected absence) from duty without available paid leave for at least 24 work hours for a full-time employee. (See Approval or Disapproval of Application to Become a Leave Recipient)</div><div></div><div></div><div>The definition of family member covers a wide range of relationships, including spouse; parents; parents-in-law; children; brothers; sisters; grandparents; grandchildren; step parents; step children; foster parents; foster children; guardianship relationships; same sex and opposite sex domestic partners; and spouses or domestic partners of the aforementioned, as applicable. The list of family members for whom an employee may request donated annual leave under the VLTP (as well as important associated definitions for the terms son or daughter, parent, domestic partner, and committed relationship) may be found in the fact sheet entitled Definitions Related to Family Member and Immediate Relative for Leave Purposes.</div><div></div><div></div><div></div><div></div><div></div><div></div><div>Available paid leave includes an employee's accrued, accumulated, recredited, and restored annual or sick leave. It does not include advanced annual or sick leave, any annual or sick leave in an employee's set aside leave accounts which has not yet been transferred to the employee's regular annual or sick leave account, or other forms of paid time off (i.e., credit hours under flexible work schedules, compensatory time off, or religious compensatory time off).</div><div></div><div></div><div>Note: An employee is entitled to a total of 12 weeks of sick leave each year for all family care purposes. This means if the employee is applying to the VLTP for a medical emergency affecting a family member and the employee has already exhausted his or her entitlement to 12 weeks of sick leave for family care in that leave year, any remaining sick leave is not considered available paid leave and he or she would not be required to exhaust his or her sick leave balance before being eligible for donated leave.</div><div></div><div></div><div>An employee should apply in writing to his or her agency to become a leave recipient. (See "Forms" below for an optional application form.) If the member is not capable of making written application, a personal representative may make the application on behalf of the employee.</div><div></div><div></div><div>Note: When an employee requests leave transfer for a family member, the agency may require the employee to document his or her relationship with that family member. Agencies should establish consistent rules and follow the same documentation requirements for all relationships, but agencies have authority to request additional information in cases of suspected leave abuse.</div><div></div><div></div><div>A potential leave recipient's employing agency must determine that a full-time employee's absence from duty without available paid leave because of the medical emergency is (or is expected to be) at least 24 work hours, which may be consecutive or intermittent. For a part-time employee or an employee on an uncommon tour of duty, the period of absence without paid leave is prorated. This period of unpaid absence qualifies as a substantial loss of income for purposes of the medical emergency determination.</div><div></div><div></div><div>A leave recipient may use donated annual leave only for purposes related to the medical emergency for which the leave recipient was approved. Except for leave in set-aside accounts (described below), a leave recipient must use any accrued annual leave (and sick leave, if applicable) before using transferred annual leave.</div><div></div><div></div><div>While using donated leave, a leave recipient may accrue no more than 40 hours of annual leave and 40 hours of sick leave in "set-aside accounts." The leave in the set-aside accounts will be transferred to the employee's regular leave accounts when the medical emergency ends or if the employee exhausts all donated leave. Leave in set-aside accounts is not available for use by the employee until transferred to the employee's regular leave accounts.</div><div></div><div></div><div>An employee who returns to work part-time and who uses donated leave part-time accrues leave in his or her regular annual and sick leave accounts for the time spent in work status and in his or her set aside annual and sick leave accounts for the time spent in shared leave status (when using donated leave).</div><div></div><div></div><div>In any leave year, an employee may donate not more than one-half of the amount of annual leave he or she would accrue during the leave year. An employee with "use or lose" annual leave may donate the lesser of one-half of the annual leave he or she would accrue in a leave year or the number of hours remaining in the leave year for which he or she is scheduled to work and receive pay. These limitations apply to a combined total amount of annual leave donated by an employee under the VLTP and an agency leave bank program. Each agency must establish written criteria for waiving the limitations on donating annual leave.</div><div></div><div></div><div>The agency must monitor the status of the medical emergency to ensure that it continues to affect the leave recipient. When the medical emergency terminates, the agency may not grant further requests for transfer of annual leave to the leave recipient.</div><div></div><div></div><div>Even though an employee may not be affected currently by a medical emergency, an agency may deem a medical emergency to continue for the purpose of providing a leave recipient time to receive adequate donations of leave (for example, to compensate for a previous period of leave without pay or to liquidate an indebtedness for advanced leave).</div><div></div><div></div><div>Any unused annual leave remaining to a leave recipient's credit on termination of the medical emergency must be restored to the annual leave accounts of the donors. Once transferred leave is restored to a leave donor's account, the leave is treated the same as other annual leave in the account and becomes subject to the annual leave "use or lose" carryover limitation</div><div></div><div></div><div>The Federal Government offers a wide range of leave options and workplace flexibilities to assist an employee who needs to be away from the workplace. These flexibilities include annual leave, sick leave, advanced annual or sick leave, leave under the Family and Medical Leave Act (FMLA), leave without pay, alternative work schedules, credit hours under flexible work schedules, compensatory time off and telework. Agencies may also have a voluntary leave bank program.</div><div></div><div></div><div>You can take your leave 3 ways: continuous, intermittent, or reduced.</div><div></div><div></div><div></div><div>If you are applying for military-related paid family leave benefits, or if you are currently unemployed, please call the Department's Contact Center at (833) 344-7365 to begin your application.</div><div></div><div></div><div>Care Claims: Along with completing sections one through five of the SDI Online application, you must also provide the Part C - Statement of Care Recipient signed by the care recipient or their authorized representative. The additional form can be obtained by downloading the Claim for Paid Family Leave (PFL) Care Benefits (DE 2501FC) from the confirmation page right after your initial claim is submitted online. You can scan and upload the completed forms to your computer to submit with your claim using SDI Online.</div><div></div><div></div><div>Your claim will not be processed until all the required sections of the application are received, as explained in the previous steps. We will contact you with the status of your claim. If you want more information on how to file a claim online through SDI Online, review the SDI Online Claimant Tutorial.</div><div></div><div></div><div>If you received benefits from CT Paid Leave in 2023, you will receive a 1099G form. Forms will be mailed via USPS by January 31, 2024 and will also be available in the online portal by February 15, 2024. CT Paid Leave benefits are considered taxable income.</div><div></div><div></div><div>Workplaces that are strengthened by the ability of employers of all sizes to give workers access to paid leave, helping with both recruitment and retention and making their organizations more competitive.</div><div></div><div></div><div>All providers, both existing and newly hired after July 1, 2018 will accrue annual sick leave after working 100 hours of providing authorized services for one or more IHSS recipients after their initial hire date. Once the annual sick leave hours are accrued, the provider must work an additional 200 hours providing services to any IHSS recipient(s), or actively work for a period of 60 calendar days from the date on which the provider accrued his/her annual paid sick leave hours, whichever comes first, before they can use them.</div><div></div><div></div><div>These are one-time requirements that must be completed to accrue, and use paid sick leave. A provider who completes the hours or time requirements will continue to accrue hours of paid sick leave each State Fiscal Year, July 1, as he/she continues to work as an active IHSS provider. Any provider who ceases employment with IHSS for longer than one year shall be considered inactive and would need to complete the process again to earn and use paid sick leave.</div><div></div><div> 31c5a71286</div>