Form ADM4312 Application for Disability Leave Benefits Employer Statement - Ohio

What Is Form ADM4312?

This is a legal form that was released by the Ohio Department of Administrative Services - a government authority operating within Ohio. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the purpose of Form ADM4312?
A: Form ADM4312 is used for applying for Disability Leave Benefits in Ohio.

Q: Who is required to fill out Form ADM4312?
A: The employer is required to fill out Form ADM4312.

Q: What information does Form ADM4312 require?
A: Form ADM4312 requires the employer to provide details about the employee's employment history, work schedule, and current disability.

Q: Is there a deadline for submitting Form ADM4312?
A: Yes, there is a deadline for submitting Form ADM4312. It should be submitted within a certain number of days from the start of the disability.

Q: What should I do if I have questions about Form ADM4312?
A: If you have any questions about Form ADM4312, you should contact the Ohio Department of Jobs and Family Services or your employer's HR department for assistance.