the FML Eligibility Checklist to determine if your employee's leave of
absence qualifies for FMLA. This is just a resource and not a required
form. If your employee is
requesting Military Leave under the FMLA, please contact Human Resources
at (989) 774-7180 before proceeding with the Eligibility & Leave
- If your employee's need for leave qualifies under FMLA, complete the Notice of Eligibility - Rights & Responsibilities (whether they are eligible for FMLA or not) within five (5) business days of being notified your employee needs leave. If they are not eligible for FMLA, a non-FML Medical Leave of Absence may be approved.
- Email the completed Eligibility & Leave Notification to your employee. If they are eligible for FMLA, attach the appropriate medical certification (Medical Certification – Employee, Medical Certification – Family Member). Please cc: Erin Christian, Human Resources (firstname.lastname@example.org). For a non-FML Medical Leave, employees may submit FMLA certification forms or a doctor's statement indicating diagnosis and expected length of disability.
your employee's leave has commenced, record FMLA for each
day of your employee's absence. If the leave is not FML, only the appropriate leave time should be recorded.
or before your employee's first day back, you must ask them to present a
return to work release, indicating restrictions, if any. If
there are restrictions, you must evaluate whether you are able to
accommodate the restrictions. Please forward the return to work release
to Erin Christian, Human Resources with confirmation that the restrictions can be
accommodated, if applicable. If your employee does not present a return to work release, you should not permit them to return.
you receive the medical certification, please fax to Erin Christian,
Human Resources at (989) 774-3256 and destroy your copy.
For all other Leave of Absence requests, please contact Erin Christian, Human Resources at (989) 774-7180.