OREGON DEPT of TRANSPORTATION FAMILY and MEDICAL LEAVE FORM Oregon
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People also ask
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What to write on FMLA paperwork?
1. FMLA Form WH-380-E for Employee Health Condition When your condition began. The best estimate of how long it can last. Whether the condition has required an overnight stay in a medical facility. The job duties that your condition prevents you from providing. Symptoms, diagnosis, and treatment plan.
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What's the difference between OFLA and FMLA?
OFLA includes a parent-in-law and same-gender domestic partner in the definition of an eligible family member, but FMLA does not. Under OFLA, an employee may take 12 weeks off to care for a parent-in-law or same-gender domestic partner, but that time off may not be charged against the FMLA entitlement.
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What to say when using FMLA?
You do not have to tell your employer your diagnosis, but you do need to provide information indicating that your leave is due to an FMLA-protected condition (for example, stating that you have been to the doctor and have been given antibiotics and told to stay home for four days).''
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Does Oregon have paid family medical leave?
Paid Leave Oregon is designed to provide compensated time away from work to covered individuals while they are on qualified family leave, medical leave, or safe leave. For those who meet the criteria, the state-run program provides up to 14 weeks of paid leave.
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Who can fill out FMLA paperwork in Oregon?
This form is to be completed by physician or other health care provider and returned to: ☐ the employee, or ☐ the employer (below): Information sought on this form relates only to the condition for which the employee is taking leave.
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What is an example of a FMLA statement?
Please be advised that I hereby request an FMLA leave for a period of (number of weeks) in connection with my serious health condition. The leave is to start on (date). Attached is my medical note reflecting the need for FMLA leave. Please let me know whether you approve this leave at your earliest convenience.
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What is care for FMLA examples?
Eligible employees can take FMLA leave to care for a child, spouse, or parent who has a serious health condition. Caring for a family member under the FMLA includes assistance with basic medical, hygienic, nutritional, safety, transportation needs, physical care, or psychological comfort.
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