FMLA Tools
The Family and Medial Leave Act provides a benefit to help eligible employees balance work/life demands by providing job-protected time off for qualifying reasons. These toolkit materials will help state agencies' HR professionals administer family and medical leave to employees.
Frequently Asked Questions
U.S. Dept. of Labor FMLA Forms
Employee Rights Under the Family and Medical Leave Act
Created:
Notice of Eligibility and Rights and Responsibilities
Created:
Designation Notice
Created:
Certification of Health Care Provider for Employee’s Serious Health Condition
Created:
Certification of Health Care Provider for Family Member’s Serious Health Condition
Created:
Certification for Military Family Leave for Qualifying Exigency
Created:
Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave
Created:
Certification for Serious Injury or Illness of a Current Servicemember for Military Caregiver Leave
Created:
Resources
GINA Safe Harbor Provision
Created:
USDOL Employer's Guide to the FMLA
Created:
FMLA Eligibility Worksheet
Created:
Sample Process Steps
Created:
Qualifying Exigencies
Created:
FMLA Serious Health Conditions
Created:
State Personnel Board Rule 478-1-.23 - Family and Medical Leave
Created:
FMLA Notice (Spanish)
Created:
Military FMLA Tracking Spreadsheet
Created:
Military Caregiver Leave Decision Tree
Created:
Qualifying Exigency Decision Tree
Created:
