Connecticut Administrative Code
Title 31 - Labor
51rr - Family and Medical Leave for School Paraprofessionals
Appendix A

Universal Citation: CT Reg of State Agencies A
Current through December 12, 2024

Forms to use for the Family and Medical Leave Act (FMLA) for Paraprofessionals

(Sec. 31-51rr-1 et seq.of the Regulations of Connecticut State Agencies)

United States Department of Labor Wage and Hour Division (WHD)

http://www.dol.gov/whd/forms/index.htm

WH-380-E: FMLA Certification of Health Care Provider for Employee's Serious Health Condition

WH-380-E Form & Instruction

WH-380-F: FMLA Certification of Health Care Provider for Family Member's Serious Health Condition

WH-380-F Form & Instruction

WH-381: FMLA Notice of Eligibility and Rights & Responsibilities

WH-381 Form & Instruction

WH-382: FMLA Designation Notice

WH-382 Form & Instruction

WH-384: FMLA Certification of Qualifying Exigency For Military Family Leave

WH-384 Form & Instruction

WH-385: FMLA Certification for Serious Injury or Illness of Covered Servicemember -- for Military Family Leave

WH-385 Form & Instruction

WH-385V: FMLA Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave

WH-385V Form & Instruction

Disclaimer: These regulations may not be the most recent version. Connecticut may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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