Warning! Cookies must be enabled for proper operation of the website.
Email Notification

FMLA Designation Forms

Used to inform employees that they are being granted FMLA leave following DOL guidelines

FMLA Designation Forms
Item Type Qty Price
Packs of 25 $15.95
Keep me Informed
Item #:EZ-428
Description
 

The U.S. Department of Labor's revised FMLA regulations (effective January 16th, 2009) require employers to provide a written designation notice to eligible employees on leave to notify them that the leave has been designated as counting toward their 12-week allotment. Such notice must be given within five business days of the leave request. The final regulations included a prototype of the notice to be used by or adapted by covered employers.

To help covered employers comply with this notice requirement, Personnel Concepts has made the DOL's model notice form available in packs of 25.

You May Also Need...

FMLA Medical Certification Form for EmployeesFMLA Medical Certification Forms for Family MembersFMLA Notice of Eligibility Forms
FMLA Medical Certification Form for EmployeesFMLA Medical Certification Forms for Family MembersFMLA Notice of Eligibility Forms
$15.95$15.95$15.95
More InfoMore InfoMore Info