FMLA Tracking Sheet - Rolling Year

Form/Letter
FMLA

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This is a tool designed to help HR keep track of an employee's use of the federal Family and Medical Leave Act (FMLA). It is not intended to be an overall attendance calendar. The federal FMLA is available to staff employed by Company XYZ for at least 12 months, and who have worked 1,250 hours during the 12 months prior to the start of leave. See the Handbook for additional information. When an employee requires FMLA leave on an intermittent or reduced schedule, it is necessary to calculate how many hours of federal FMLA leave the employee may take. For a full-time employee working 40 hours, if you multiply 40 hours per week times 12 weeks of available leave, the result is 480 hours available for leave. However the federal regulations do not provide for 480 hours of leave, but rather provide leave availability based on the employees' regular weekly work schedule. As per our company policy, an eligible employee is entitled to up to 12 weeks of unpaid federal FMLA leave in a rolling year. Whether used as a solid block of time or intermittently, FMLA leave is easier to track when hours are entered on this calendar. Use the absences codes above on the calendar.

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