Form FMLA-HR4 Statement of Qualifying Family Relationship for Family Leave or Military Family Leave - Connecticut

Form FMLA-HR4 Statement of Qualifying Family Relationship for Family Leave or Military Family Leave - Connecticut

What Is Form FMLA-HR4?

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

FAQ

Q: What is FMLA-HR4?
A: FMLA-HR4 is a statement of qualifying family relationship for family leave or military family leave in Connecticut.

Q: What is the purpose of FMLA-HR4?
A: The purpose of FMLA-HR4 is to determine if an employee qualifies for family leave or military family leave.

Q: Who is eligible for FMLA-HR4?
A: Employees in Connecticut who need to take family leave or military family leave may be eligible for FMLA-HR4.

Q: How do I fill out FMLA-HR4?
A: To fill out FMLA-HR4, you need to provide the required information about your qualifying family relationship for family leave or military family leave.

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Form Details:

  • Released on January 1, 2022;
  • The latest edition provided by the Connecticut Department of Administrative Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form FMLA-HR4 by clicking the link below or browse more documents and templates provided by the Connecticut Department of Administrative Services.

Download Form FMLA-HR4 Statement of Qualifying Family Relationship for Family Leave or Military Family Leave - Connecticut

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  • Form FMLA-HR4 Statement of Qualifying Family Relationship for Family Leave or Military Family Leave - Connecticut, Page 1
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