The following questionnaire is intended to collect information about the applicability of the federal Family and Medical Leave Act (FMLA) in Utah. All responses will be kept confidential.
A qualifying medical reason means any of the following: (A) Because of the birth of your child and in order to care for such child; (B) because of the placement of a child with you for adoption or foster care; (C) in order to care for your spouse, child, or parent, due to a serious health condition; (D) because of a serious health condition you had that made you unable to perform the functions of your job; (E) because of an exigency arising out of the fact that your spouse, child, or parent is on covered active duty (or has been notified of an impending call or order to covered active duty) in the Armed Forces.
If no, proceed to Question 13.
Please indicate the total amount of paid leave your employer offers. For example, if you took only two weeks of paid leave, but your employer offered up to six weeks paid leave, you would write six weeks.
Skip this question if you did take a period of leave.
This includes part-time, temporary, seasonal, and full-time employees.
Not sure? Find out here: http://le.utah.gov/GIS/findDistrict.jsp