Michael Faillace & Associates, P.C.



FMLA Compliance Package

I. Effective Communication.

One of the secrets to FMLA compliance is effective and timely communication with the employee and healthcare providers. The package includes suggested communication templates to address the most common needs that arise under the FMLA. The material provides the opportunity for employers to be consistent in addressing similar situations.

II. Guidelines and Worksheets

The Package includes a suggested methodology for employers to “work through” the legally required analysis. Specifically, there are "step-by-step" guidelines for an employer's FMLA specialist to follow in order to ensure compliance with all the technical requirements of the law. The package also includes a guideline of the requirements that employees must meet to become entitled for FMLA leave. These tools allow employers to, again, ensure that different decision makers at different locations use a compliant methodology.

III. Controls

The Package includes the measures available to employers to reduce employee abuse of this legally required benefit. While employers have the option to implement as much or as little of the Package as they choose, the organization will have the guidelines and forms necessary to provide this leave only to qualified individuals.

IV. Table of Contents

Guidelines
  • Step by Step Guidelines for Handling an Employee’s Request for Time Off and Ensuring Compliance with the FMLA
  • Step by Step Guidelines for Employees to Follow to Report Absences and Be Protected Under the FMLA

    Eligibility
  • FMLA Eligibility Worksheet
  • FMLA Ineligibility Notification Letter
  • FMLA Eligibility Notification Letter
  • Untimely Employee Notice Letter
  • FMLA State-Eligibility Worksheet
  • Flow Chart Style Eligibility Worksheet

    Certification
  • FMLA First Certification Request Letter (A)
  • FMLA First Certification Request Letter (B)
  • FMLA First Certification Request Letter (C)
  • FMLA Second & Final Certification Request (A)
  • FMLA Second & Final Certification Request (B)
  • FMLA Second & Final Certification Request (C)

    Serious Health Condition
  • FMLA Serious Health Condition Worksheet

    Request for Medical Certification
  • Request for Complete Medical Certification Letter

    Leave Request
  • Guideline Employees Must Follow To Qualify for Time Off Under the FMLA.
  • Leave Request Form

    Medical Certification Form
  • Medical Certification-Adoption Certification Form
  • FMLA Certification of Health Care Provider (for Employee’s parent’s/spouse’s/ child’s serious health condition)
  • Confidential Authorization for Release of Medical Information

    Fitness for Duty
  • Fitness for Duty Letter
  • Medical Release Form

    Medical Examination Requests
  • Request for Medical Examination Letter
  • Request for Second Medical Examination
  • Request for Third Medical Examination

    Intermittent Leave
  • Guideline to Intermittent and Reduced Leave Schedules

    Please contact us for information on pricing, ordering and customization.


    • ©2010 Michael Faillace & Associates, P.C. All Rights Reserved.