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Printable Form 8332 Allegheny Pennsylvania: What You Should Know

This form must only be signed by a custodial party or authorized law enforcement agency. The ADAM Summary Sheet (LDAP Form-EFM-1002) must include all information required. The report is  pursuant to the Family and Medical Leave Act of 1993. This form must be completed and forwarded to ADAM by the ADAM staff. ADAM and ADAM Staff (F&M) will maintain this report on record for a minimum of one (1) year, including a record of the report. The Family and Medical Leave Act of 1993 prohibits an employer from firing or in any manner restricting an employee from taking leave for the following purposes: providing medical/dental care, ADAM must use his discretion in issuing an ADAM-DHR Letter (ADAM-DHR Letter — EFM-18053) if the employee has been on leave for more than two consecutive workweeks at the time of issue. This letter should include information about the employee being  paid vacation time. The ADAM-DHR Letter must contain an example of the type of leave taken. The custodial parent is NOT included in this letter. ADAM must obtain an Employee Authorization to Use Leave Form (EFM-18054) from the employee. ADAM must send this form to the employee's supervisor, HR/Account Management. The employee will send his/her (or her) signature to his account manager, and ADAM will use it to authorize the employee to use the leave. ADAM may authorize an employee to take time off from work as long as the ADAM will be responsible for any payroll taxes due (with appropriate reporting). Only custodial parents or legal  guardians of the child may be authorized to use leave under this policy and only for the following purposes: • providing medical/dental care, • providing emergency care, and Note: The Family and Medical Leave Act does not exclude the following activities: — driving to the person's job location; — transportation necessary for the employee's medical treatment; or ADAM must use his discretion in issuing an ADAM-DHR Certificate (ADAM-DHR Certificate) if the employee has spent more than 24 workweeks (1,360 hours) at the time of issue.

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