FMLA is never going to be easy, but with forms ready to go for most FMLA situations, you can make it a little easier. Here are two more FMLA forms you will find helpful.
[Go here for "Fitness for Duty Certification Form.]
Under the FMLA, to confirm a family relationship, the employer may require the employee giving notice of the need for leave to provide reasonable documentation or statement of family relationship. This documentation may take the form of a simple statement from the employee, or a child's birth certificate, a court document, etc. The employer is entitled to examine documentation such as a birth certificate, etc., but the employee is entitled to the return of the official document submitted for this purpose.
FMLA EMPLOYEE STATEMENT OF FAMILY RELATIONSHIP
In support of my request for medical leave dated _________________ to care for (name) _________________________________ who is my (check one): ____ Spouse ____ Child ____ Mother ____ Father ____ Next of kin due to his or her serious medical condition, I have attached a copy of the following: ____ Birth certificate ____ Marriage certificate ____ Court document: _________________________________________ or I hereby certify that (name) _______________________________________ is my (check one): ____ Spouse ____ Child ____ Mother ____ Father ____ Next of kin I understand that any deliberate misrepresentations made in this statement are punishable pursuant to the company’s policies regarding misrepresentations by employees. I certify that all of the statements made herein are true and accurate to the best of my knowledge and belief.
Employee Name: _______________________________________ Employee Signature: ____________________________________ Date: ________________________________________________
FMLA changes—the #1 hassle of 2010, and likely of 2011. BLR's compliance guide is ready to help now. Click here to find out more about the Family and Medical Leave Act Compliance Guide.
Another form that most employers will require is the periodic status report. This report, when required consistently, can be a great help in controlling leaves.
FMLA LEAVE PERIODIC STATUS REPORT
Employee: Please be advised that pursuant to the federal Family and Medical Leave Act, we are entitled to make periodic inquiries regarding any changes in your status and intentions to return to work at the conclusion of your leave. Accordingly, please complete this form and return it to Human Resources, to the attention of ____________________, on or before ___________________.
Employee Name: ________________________ Title: __________________________________ Department: ____________________________ Leave Request Dated: ____________________ Approved By: ___________________________ Reason for Leave: ___________________________________________ __________________________________________________________
[ ] I hereby reaffirm my intention to return to work on _______________; or
[ ] You are hereby advised that I no longer intend to return to work on my scheduled return-to-work date for the following reason: ___________________________________________________________ ___________________________________________________________ I request a new return-to-work date of _______________________; or
[ ] I do not intend to return to work.
Employee Signature: ______________________________ Date: __________________________________________
It's an almost overwhelming task to keep up with the FMLA, and recent, far-reaching changes haven't helped. And that's to say nothing of the devilish complexity of marrying FMLA with ADA and workers' comp. Good news! BLR's editors have gone the extra mile to get your comprehensive compliance guide up to date.
BLR's recently updated Family and Medical Leave Act Compliance Guide—the book some are calling the "FMLA Bible"—simplifies the frustrating and confusing complexities of the FMLA, so you know exactly how to comply in every situation.
It contains practical answers to all the FMLA questions you are asking—and the ones you haven't thought of but should be asking.
A whirlwind of changes has hit the FMLA—are you ready to comply? Order BLR's comprehensive guidebook and find out what you need to do. You’ll get expert FMLA guidance, forms, and concrete examples. Find out more.
The Family and Medical Leave Act Compliance Guide includes:
Get more information or order your copy of the Family and Medical Leave Act Compliance Guide.
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