FMLA Designation Notice

HR Forms & Checklists

Introduction

This Notice requirement applies only to employers subject to the federal Family and Medical Leave Act – in general, employers with 50 or more employees. Employers must inform employees in writing whether a FMLA leave request has been approved and the amount of leave that is designated and counted against an employee’s FMLA entitlement within five business days of having enough information to determine whether the leave is FMLA-qualifying. This Notice may be used to satisfy this requirement.

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