Benefits

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• FMLA Employee Request Form - FMLA-HR-1

  Form to be completed by employee requesting family leave, medical leave or military family leave.

• 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 - 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 Statement of Qualifying Family Relationship FMLA-HR4

  For Family Leave or Military Family Leave

• Death - Accidental Death and Dismemberment Policy - Correction Classes - MPP 83-003 - April 1984

  Establishes eligibility for accidental death and dismemberment policy for certain correctional classes

• Death - Accidental Death and Dismemberment Policy - State Police Classes - MPP 82-005 - May 1983

  Establishes eligibility for accidental death and dismemberment policy for certain state police classes

• Vacation Leave - Accrual of Vacation Leave - MPP 88-002 - February 1989

  Authority for vacation leave to not accrue in any month where the employee has more than five (5) days of leave without pay