FMLA Initial Notification
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Employer
Directions:
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Employers who have
more than 50 employees within 75-mile radius must provide FMLA leave to all of
their workers. Â For the purposes of
FMLA, all employees on the payroll, including full-time and part-time employees
and those already on leave, are included in this count. Â Temporary workers may also count, as well as
all employees involved in a joint venture. Â
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The laws regarding
employee count are often confusing and complicated and may vary widely from
state to state. Â This issue should be
discussed with your attorney or other qualified expert. Â Additional information can be obtained from
the U.S. Department of Labor or your state´s labor office. Â
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This notification
letter provides general information about the federal FMLA. Â Almost half of the states have additional
laws regarding FMLA leave. Â The
regulations vary widely and employers must comply with both state and federal
FMLA laws. Â For information regarding
your state´s laws, contact your state labor department or your attorney or
other qualified expert.
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Employers who must provide FMLA leave must
display in their workplace a poster called "Your Rights Under the Family and
Medical Leave Act of 1993." Â It´s available
from all branches of the U.S. Department of Labor´s Wage and Hour Division as
well as many state labor departments. Â
In addition to this if a company has an employee handbook, they must
include employee FMLA rights. Â If an
employee handbook is not available employers must inform employees of their
FMLA rights when they request leave under the FMLA. Â The following letter is meant to fulfill that notification
purpose. Â
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The FMLA allows
employers to decide whether or not to substitute company paid leave for unpaid
FMLA leave. Â Many employers allow their
employees to make that determination. Â
The sample notification letter makes reference to three types of
Substitution of Paid Leave. Â You should
review the three types, select the most appropriate one, and delete the
remaining two.
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The first version is
for employers who do not allow substitution of paid leave. Â The second is for employers who allow their
employees to decide. Â The third version
is for employers who automatically substitute paid leave for FMLA leave. Â Both the second and third versions contain
examples of company paid leave to help clarify the issue for employees. Â You must customize the examples to suit your
business needs. Â Companies who do not
provide any paid leave should delete the whole section, or provide a simple
statement explaining that they do not provide any paid leave. Â Â
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BUSINESS NAME}
{ADDRESS}
{CITY, STATE, ZIP CODE}
Phone: Â
{NUMBER} Â Â
Fax: Â
{NUMBER}
{EMAIL}
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{DATE}
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{EMPLOYEE NAME}
{ADDRESS}
{CITY, STATE,
ZIP}
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RE: Family
and Medical Leave Act (FMLA) Initial Notification
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Dear {EMPLOYEE
NAME}
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Under the Federal
Family and Medical Leave Act of 1993, certain employees are entitled to 12
weeks of unpaid leave per year to attend to specific personal issues. Â This letter is to inform you of your rights
under the Family and Medical Leave Act. Â
Please retain this letter in your files for future reference. Â If you have any questions please contact {NAME}
at {ENTER CONTACT INFORAMTION}.
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Sincerely
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{NAME}
{POSITION}
{BUSINESS
NAME}
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Enclosure
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Initial Notification of Employee Rights Under the Family and Medical Leave Act of 1993 (FMLA)
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Employers who have 50 or more employees within a 75-mile
radius must provide FMLA leave to all of their workers. Â {BUSINESS NAME} is an employer who falls
within this category.
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Employees are
eligible for 12 weeks of unpaid leave under the FMLA every 12 months if they
meet both of the following requirements:
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The employee
has worked with one business for 12 months or more (the 12 months does not need
to be consecutive).
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The employee
has accrued at least 1250 work hours (approximately eight months based on a
40-hour work week or one year based on a 25-hour week) in the last 12 calendar
months.
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Employers are permitted to exempt the highest paid 10% of
their employees from FMLA leave since those employees are often indispensable
to the well being of the business.
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Reasons
for FMLA Leave
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Employees may take
FMLA leave for the following reasons:
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Under FMLA, the
definition of "child" applies to biological, adopted, or foster children,
stepchildren, and legal wards. Â In addition,
children for whom the employees act as parents (i.e. grandparents who have
complete caretaking responsibilities) are covered as well. Â The child must be under 18 years of
age. Â If the child is 18 or over, he/she
must be incapable of taking care of him/herself due to a mental or physical
disability.
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The FMLA defines
spouse as a husband or wife. Â In-laws
are not covered under FMLA.
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Employees must give
their employers at least a 30-day notice for foreseeable medical treatment in
order to give both parties time to determine the terms of the leave, under the
FMLA. Â In cases where events are
impossible to schedule or predict, we will grant the employee leave even if we
have not approved the leave in advance, provided that the leave fits the
eligibility requirements of the FMLA. Â
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Employers and their
employees may agree to a more flexible FMLA leave. Â The employee may take intermittent leave (i.e. work four days a
week instead of five), or reduce the number of hours they work each day. Â Employers may also temporarily transfer an
employee to another job with equivalent pay and benefits. Â The temporary job does not need to have
equivalent duties. Â In addition,
employers and employees may agree to other solutions, such as job sharing and
work-at-home. Â
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Substitution of Paid
Leave {EMPLOYERS PICK ONE OPTION AND DELETE REMAINING}
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{OPTION 1}
According to company policy, {BUSINESS
NAME} does not permit paid leave
be substituted for unpaid FMLA leave.
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{OPTION
2}
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If an employee uses
paid leave for circumstances not covered by FMLA, then that paid leave will not
count against the FMLA leave period. Â An
employee who uses our medical leave to take care of routine medical duties, for
example, will not be deducted any time from his/her FMLA leave allotment. Â Â
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{OPTION 3}
According to company
policy, {BUSINESS NAME} automatically substitutes the appropriate paid
leave for unpaid FMLA leave. Â Any
substitution of paid leave will abide by our policy regarding that paid
leave. Â For example, our paid family
leave policy allows leave only if the seriously ill family member is a
child. Â We will not, then, substitute
paid family leave if the employee takes leave to care for a sick parent. Â Instead, we will use FMLA leave. Â If an employee takes a 2-week paid family
leave to care for a child, then we will deduct those 2 weeks from the FMLA
12-week requirement. Â The employee is
then eligible for 10 weeks of FMLA leave. Â
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If an employee uses
paid leave for circumstances not covered by FMLA, then that paid leave will not
count against the FMLA leave period. Â An
employee who uses our family leave to take care of a parent, for example, will
not be deducted any time from his/her FMLA leave allotment.
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Employers have the
right to ask employees to provide written medical certification of their or
their family members´ medical condition. Â
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Depending on the situation, that certification
may include:
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Diagnosis of
condition
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Date when
serious condition started
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Length of time
condition will probably last
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Treatment
prescribed
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If inpatient
treatment is required
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Statement
regarding employee´s ability to perform the essential duties of the job
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Statement
regarding family member´s need for employee´s assistance
·       Â
Medical need
for intermittent and/or reduced work-hour leave
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Specification on
what must be included in the certification will be provided when an employee
applies for leave under the FMLA. Â
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While an employee is on FMLA leave, the company will
maintain his/her health care benefits as if the employee were still working.
However, the employee is still responsible for paying his/her normal deduction
for health insurance. Â If an employee
fails to make the appropriate payments, the company reserves the right to
terminate coverage.
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FMLA does not require employers to continue any other
benefits, such as accrued seniority, vacation, or sick leave.
When an employee returns from leave, they will receive back
the same benefits they had before the leave. Â
The employee cannot lose any benefits he/she earned or vested before the
leave. Â However the benefits are subject
to changes that occurred while the employee was on leave. Â For example if the company alters the business´
severance pay package, the employee is now entitled to the altered package, not
the original one. Â An exception to this
are changes based on seniority or accrual may not necessarily apply to
employees returning from leave. Â For
example, if a benefit plan is contingent upon a certain number of hours worked,
and if an employee returning from leave did not accrue that number of hours,
then that employee is not entitled to that benefit. Â
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FMLA leave time is considered continued service for the
purposes of vesting and eligibility to participate in pension and other
retirement plans. Â If the plan requires
the employee to be employed on a certain date to be credited for vesting,
contributions, or participation purposes, an employee on FMLA leave must be
considered employed on that date. Â
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When an employee returns from FMLA leave, he/she is
entitled to any "unconditional" pay raises that he/she would have received had
he/she stayed on the job. Â For example,
an unconditional pay raise could be a raise based on rising cost-of-living
expenses. Â However, returning employees
are not entitled to conditional pay raises. Â
Conditional pay raises are based on length of service, performance,
seniority, etc. Â
If the employee does not return after the leave period
expires, the company may demand reimbursement for the health care premiums paid
while the employee was on leave. Â
However the company cannot demand reimbursement when the employee does
not return to work for one of the following reasons:
·       Â
The employee or
family member suffers a recurrence, onset, or continuation of a serious health
condition.
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The employee is
subject to circumstances beyond his/her control. Â For example, if the employee´s spouse is transferred to a job
more than 75 miles away from the employer´s workplace.
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If an employee cannot perform the same or equivalent job
due to a disability, the Americans with Disabilities Act (ADA) may require us
to place that employee in a job with a reasonable accommodation or to place
that employee in a part-time job with the benefits available to part-time
employees.
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In some cases, a returning employee may no longer be
qualified for his/her former job because he/she did not attend a certain
course, renew his/her license, etc. Â In
such a case, the company will give the employee a reasonable amount of time to
fulfill the job requirements after returning to work.
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