Family and Medical Leave Act (FMLA) Notices

Here's a list of notices related to the Family and Medical Leave Act (FMLA) that employers must provide to some or all employees.

General FMLA Notice

  • Must be provided to all employees. This notice must be posted prominently where it can be readily seen by employees and applicants, even if no employees are eligible for FMLA leave.
  • The notice must also be provided to each eligible employee by including it in employee handbooks or other written guidance concerning employee benefits or leave rights (if such written materials exist), or by distributing a copy to each new employee upon hiring, but only if the employer has any FMLA-eligible employees.
  • The general FMLA notice can be found here: https://www.dol.gov/whd/regs/compliance/posters/fmlaen.pdf

Notice of FMLA Eligibility & Rights and Responsibilities

  • This must be provided to employees requesting FMLA leave within 5 business days of the employee notifying the employer of the need for FMLA leave (or when the employer acquires knowledge that an employee's leave may be for an FMLA-qualifying reason).

  • Written notice of any change in the employee's eligibility status, or the specific information provided by the notice of rights and responsibilities, is also required.

  • The Rights and Responsibilities notice can be found here: https://www.dol.gov/whd/forms/WH-381.pdf

FMLA Designation Notice

  • This must be provided to employees requesting FMLA leave within 5 business days after the employer has enough information to determine whether the leave is being taken for an FMLA-qualifying reason (if leave is not designated as FMLA-qualifying, the notice may be in the form of a simple written statement).
  • Written notice of any change to the information provided in the designation notice is also required.
  • The designation notice can be found here: https://www.dol.gov/whd/forms/WH-382.pdf"

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