FMLA Required Correspondence and Forms
Note: Effective January 1, 2014, all FMLA paperwork as well as decisions regarding an employee’s eligibility for FMLA leave will be administered by the FMLA Coordinator. The FMLA Coordinator can be reached at firstname.lastname@example.org or 612-673-5460 and will provide the employee with the necessary forms.
- FMLA – HR Notice of FMLA
- Notice of Eligibility and Rights & Responsibility Form
- Family Medical Leave Certification of Health Care Provider Forms
- FMLA Designation Notice
If you have questions about any of the FMLA forms, the FMLA policy or procedures, please contact the HR/FMLA Consultant assigned to your department.
Last updated Jul 28, 2016