The Essential Guide to Family & Medical Leave
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The Essential Guide to Family & Medical Leave

The purpose of the federal Family and Medical Leave Act (FMLA) is to help employees balance the demands of work and family. But the law can be hard for employers to apply in the real world. Questions about eligibility, coverage, notice and certification requirements, administering leave, continuing benefits, and reinstatement can challenge even the most experienced managers. This book has the plain-English answers to all of your tough questions about the FMLA. It provides detailed information, real-life examples, sample forms, and other tools to help you meet your legal obligations.

The purpose of the federal Family and Medical Leave Act (FMLA) is to help employees balance the demands of work and family. But the law can be hard for employers to apply in the real world. Questions about eligibility, coverage, notice and certification requirements, administering leave, continuing benefits, and reinstatement can challenge even the most experienced managers.

This book has the plain-English answers to all of your tough questions about the FMLA. It provides detailed information, real-life examples, sample forms, and other tools to help you meet your legal obligations.

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Forms and Checklists<br />

a p p e n d i x<br />

C<br />

Forms<br />

<strong>Family</strong> and <strong>Medical</strong> <strong>Leave</strong> Act Poster (English)........................................357<br />

<strong>Family</strong> and <strong>Medical</strong> <strong>Leave</strong> Act Poster (Spanish)......................................359<br />

Form Regarding FMLA <strong>Leave</strong> <strong>to</strong> Care for a <strong>Family</strong> Member.............361<br />

FMLA Hours Worked..............................................................................................363<br />

FMLA <strong>Leave</strong> Tracking for [Employee Name]...............................................365<br />

Calculating Intermittent/Reduced-Schedule <strong>Leave</strong>...............................367<br />

FMLA Designation (Preliminary)......................................................................369<br />

FMLA Designation (Final)....................................................................................371<br />

Employer Response <strong>to</strong> Employee Request for <strong>Family</strong><br />

or <strong>Medical</strong> <strong>Leave</strong> (WH-381)............................................................................373<br />

Certification of Healthcare Provider (WH-380).......................................375<br />

Request for <strong>Medical</strong> Certification....................................................................379<br />

Notice <strong>to</strong> Key Employee of Substantial and Grievous<br />

Economic Injury.....................................................................................................381<br />

Notice of Termination of Group Health Coverage.................................383<br />

Checklists<br />

Does the FMLA Apply <strong>to</strong> My Company?.....................................................385<br />

Is the Employee Eligible for FMLA <strong>Leave</strong>?....................................................386<br />

<strong>Leave</strong> for a New Child.............................................................................................387<br />

Duration of <strong>Leave</strong>......................................................................................................389<br />

Giving Notice and Designating <strong>Leave</strong>............................................................391<br />

<strong>Medical</strong> Certifications............................................................................................393<br />

Managing FMLA <strong>Leave</strong>...........................................................................................394<br />

Reinstating an Employee.......................................................................................396<br />

If an Employee Doesn’t Return From <strong>Leave</strong>................................................399<br />

Record Keeping..........................................................................................................400

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