FMLA Notice of Eligibility, Rights and Responsibilities

Resource type: Standard document

Status: Maintained

Jurisdiction: USA

A standard form for notifying employees about their eligibility for leave under the Family and Medical Leave Act (FMLA) and their rights and responsibilities under the FMLA. This Standard Document has integrated notes with important explanations and drafting tips. This Standard Document is based on federal law. For information about state leave law, see the State Q&A Tools under Related Content to the right.

PLC Labor & Employment

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Resource ID: 2-504-7949
Products: PLC US Labor & Employment, PLC US Law Department
This resource is maintained, meaning that we monitor developments on a regular basis and update it as soon as possible.

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Related content

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Topics

Policies and Procedures: EmploymentPolicies and Procedures: Employment (http://www.practicallaw.com/9-382-7461)
Working Time and Time OffWorking Time and Time Off (http://www.practicallaw.com/2-103-1226)

Practice notes

Family and Medical Leave Act (FMLA) Basics Family and Medical Leave Act (FMLA) Basics (http://uk.practicallaw.com/topic9-505-1339)
Military Leave Law Military Leave Law (http://uk.practicallaw.com/topic7-504-4849)

Standard documents

California Family Rights Act (CFRA) Leave and Pregnancy Disability Leave Combined Policy California Family Rights Act (CFRA) Leave and Pregnancy Disability Leave Combined Policy (http://uk.practicallaw.com/topic4-506-8158)
Certification of Healthcare Provider for Employee's Pregnancy Disability (California) Certification of Healthcare Provider for Employee's Pregnancy Disability (California) (http://uk.practicallaw.com/topic9-506-9773)
Certification of Healthcare Provider for Employee's Serious Health Condition (California) Certification of Healthcare Provider for Employee's Serious Health Condition (California) (http://uk.practicallaw.com/topic0-506-8042)
Certification of Healthcare Provider for Family Member's Serious Health Condition (California) Certification of Healthcare Provider for Family Member's Serious Health Condition (California) (http://uk.practicallaw.com/topic2-506-9535)
Family and Medical Leave Act Request Form Family and Medical Leave Act Request Form (http://uk.practicallaw.com/topic9-503-3053)
Family and Medical Leave Policy Family and Medical Leave Policy (http://uk.practicallaw.com/topic4-505-0573)
FMLA Certification for Serious Injury or Illness of a Current Military Member for Military Caregiver Leave FMLA Certification for Serious Injury or Illness of a Current Military Member for Military Caregiver Leave (http://uk.practicallaw.com/topic4-504-8778)
FMLA Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave FMLA Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave (http://uk.practicallaw.com/topic0-525-4572)
FMLA Certification of Health Care Provider for Employee's Serious Health Condition FMLA Certification of Health Care Provider for Employee's Serious Health Condition (http://uk.practicallaw.com/topic8-504-8267)
FMLA Certification of Health Care Provider for Family Member's Serious Health Condition FMLA Certification of Health Care Provider for Family Member's Serious Health Condition (http://uk.practicallaw.com/topic4-504-8556)
FMLA Certification of Qualifying Exigency for Military Family Leave FMLA Certification of Qualifying Exigency for Military Family Leave (http://uk.practicallaw.com/topic3-504-8731)
FMLA Designation Notice FMLA Designation Notice (http://uk.practicallaw.com/topic9-504-8016)
Pregnancy Disability Leave Policy (California) Pregnancy Disability Leave Policy (California) (http://uk.practicallaw.com/topic6-506-8176)

Checklists

Disability Leave: Best Practices Checklist Disability Leave: Best Practices Checklist (http://uk.practicallaw.com/topic0-504-5574)
FMLA Employee Notice and Employer Response Checklist FMLA Employee Notice and Employer Response Checklist (http://uk.practicallaw.com/topic2-503-9100)
FMLA Employer Coverage, Employee Eligibility and Qualifying Reason Checklist FMLA Employer Coverage, Employee Eligibility and Qualifying Reason Checklist (http://uk.practicallaw.com/topic1-503-9025)
Resolving Issues During and After FMLA Leave Checklist Resolving Issues During and After FMLA Leave Checklist (http://uk.practicallaw.com/topic0-503-9097)

State Q&A Tool

Leave Laws: State Q&A Tool Leave Laws: State Q&A Tool (http://uk.practicallaw.com/topic9-505-9585)
Leave Policy Language: State Q&A Tool Leave Policy Language: State Q&A Tool (http://uk.practicallaw.com/topic7-505-9586)

Legal update: archive

Cat's Paw Theory of Liability Does Not Exclude Award of Liquidated Damages as Penalty for FMLA Violation: Eighth Circuit Cat's Paw Theory of Liability Does Not Exclude Award of Liquidated Damages as Penalty for FMLA Violation: Eighth Circuit (http://uk.practicallaw.com/topic3-520-7169)

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