Family and Medical Leave Act of 1993



Your Rights Under the FMLA of 1993

Word Version

 

This form is a general description of an employee's rights under the FMLA of 1993.

A Serious Health Condition

Word Version

 

This form explains the definition of a serious health condition with regard to FMLA leave.

Letter to Employees to Initiate FMLA

Word Version

 

This is a sample letter to an employee notifying employee of the employer initiating the FMLA leave.

Request for Leave of Absence

Word Version

 

Employees use this form to request an FMLA leave.

Leave of Absence Worksheet

Word Version

 

This form is used to determine eligiblility of employee to utilize various leaves of absence.

Request for Information

Word Version

 

This form is used to request necessary documents/information from an employee with regard to a leave of absence.

Leave of Absence Approval/Conditions

Word Version

 

This form is provided to the employee by the employer to communicate whether a leave has been approved and address related issues (compensation, benefit accrual, reinstatement,etc.).

Certification of Physician or Practitioner for FMLA Leave

Word Version

 

This form can be supplied to an employee for their physician to complete, to certify ther "serious health condition."

Leave of Absence Designation

Word Version

 

This form is used to designate to an employee the type of leave being utilized.


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P•A•S Associates has expertise in human resources and other areas involving employment issues. P•A•S Associates, in providing these forms, does not represent that it is acting as an attorney or that it is giving any form of legal advice or legal opinion. P•A•S Associates recommends that before making any decision pertaining to human resource issues or employment issues, including the utilization of information contained on this website, the advice of legal counsel to determine the legal ramifications of the use of any such information be obtained.