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FMLA Designation Forms

FMLA Designation Forms

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

Item Type SKU Qty Price
Packs of 25 EZ-428 $15.95
   
   

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.

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