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  1. The Department has developed optional-use forms which can be used by employers to provide required notices to employees, and by employees to provide certification of their need for leave for an FMLA qualifying reason. These forms are electronically fillable PDFs and can be saved electronically.

  2. The IRS expects the June 2022 revision of Form 941 and these instructions to be used for the second, third, and fourth quarters of 2022. If changes in law require additional changes to Form 941, the form and/or these instructions may be revised.

  3. assistance to employers and helping increase their knowledge of the law. This Employer’s Guide to the Family and Medical Leave Act is designed to provide essential information about the FMLA, including information about employers’ obligations under the law and the options available to employers in administering leave under the FMLA.

  4. The FMLA entitles eligible employees of covered employers to take unpaid, job-protected leave for specified family and medical reasons with continuation of group health insurance coverage under the same terms and conditions as if the employee had not taken leave.

  5. Read the separate instructions before you complete Form 941. Type or print within the boxes. Part 1: Answer these questions for this quarter. Number of employees who received wages, tips, or other compensation for the pay period including: June 12 (Quarter 2), Sept. 12 (Quarter 3), or Dec. 12 (Quarter 4) . . . . . .

  6. See the Instructions for Form 941 for information on which employers may be eligible to claim the credit for qualified sick and family leave wages paid in 2022 and which employers may be eligible to claim the COBRA premium assistance credit in the first quarter of 2022.

  7. Information about Form 941, Employer's Quarterly Federal Tax Return, including recent updates, related forms, and instructions on how to file. Form 941 is used by employers who withhold income taxes from wages or who must pay social security or Medicare tax.

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