FMLA Forms

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Black Hawk County Checklist for FMLA

FMLA Tracking Spreadsheet

FMLA Certification of Health Care Provider for Employee's Serious Health Condition

FMLA Certification of Health Care Provider for Family Member's Serious Health Condition

FMLA Notice of Eligibility and Rights and Responsibilities

FMLA Poster for Employee Rights and Responsibilities under FMLA

FMLA Designation Notice to Employee of FMLA Leave

FMLA Certification of Qualifying Exigency for Military Family Leave

FMLA Certification for Serious Injury or Illness of Covered Servicemember for Military Family Leave

FMLA Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave

Medical Status/Release to Return to Work Form

FAQ's
- FMLA in General
-Military FMLA Leave

SAMPLE LETTERS
- Intermittent leave Notification
- Intermittent Leave Notification - No Office Visits
- Initial Notification & Request for Information
- Initial Notification & Request for Information on a Family Member
- Care of an Eligible Family Member (Combined Solid Block/Intermittent Leave Notification with Office Visit)
- Combined Solid Block/Intermittent leave Notification with No Office Visits
- FMLA Denial Notification - Less Than 12 Months Employment
- FMLA Denial Notification - Less Than 1,250 Hrs Worked
- Sample Pregnancy Designation Letter
- FMLA Designation Letter with known exhaustion date Aug 2012

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