The Family and Medical Leave Act (FMLA) packet is designed to provide healthcare providers with the necessary information to support an employee’s request for medical leave to care for a family member. This ensures that the family member’s condition meets the criteria for FMLA leave.
| FMLA Packet of Information (Family Member's Condition) |
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Cover Letter to Employee: This letter provides an overview of the FMLA process and instructions on how to complete and submit the necessary forms.
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Employee Rights Under the Family and Medical Leave Act: This document outlines the employee’s rights under the FMLA, including eligibility criteria, leave entitlements, and job protection.
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Medical Certification Form: This form must be completed by the healthcare provider to certify the family member’s serious health condition and the need for the employee to provide care.
| Instructions for the Employee |
This packet contains important information and forms related to your request for FMLA leave. Please follow these steps:
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Review the Information: Carefully read through all the documents in this packet to understand your rights and responsibilities under the FMLA.
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Consult Your Physician: Take the Medical Certification Form, and ADA Packet Documents to your healthcare provider. They will need to complete the form based on their knowledge of your family member’s medical condition.
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Complete the Forms: Ensure that all sections of the Medical Certification Form are filled out accurately by your healthcare provider.
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Return the Paperwork: Once the forms are completed, return them to your HR Professional as soon as possible to avoid any delays in processing your leave request.
If you have any questions or need further assistance, please Ask an FMLA/Parental Leave Question.