Benefits
Page 5 of 7
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DAS General Letter 301 - Retirement - Disability Retirement - Procedures Pending Determination
Procedures for placing an employee on a leave of absence without pay for up to 12 months to allow for medical coverage pending determination of disability retirement
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Extension of the Agreed upon language concerning the Negotiated Final Telework Policy (E-Item 2829)
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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.
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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.
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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.
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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.
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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