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Fmla return to work Form: What You Should Know

FMLA. You are required to complete a Return to Work from FMLA Notice and to provide supporting documentation to your supervisor.  FITNESS FOR DUTY — RETURN TO WORK DATE: Monday,  November 1,  2018 Please complete the following and return the Form to the Director. (PDF) Employee's Return of Leave This is an optional-use form for reporting your FMLA leave to the employer. Please fill in the appropriate boxes. You will be required to provide documentation verifying your claim to the leave. Please follow the instructions on the “Instructions to Employer” page for your employer. You should mail the form with the supporting documentation to: Employee Assistance Program P.O. Box 61700 Kansas City, MO 64105 Please return forms after your leave and not before your return to work. This form is provided here in PDF format. Please note that you are free to change the name and/or the information included on the form to comply with the law. Please note that this form is for a leave of absence for sickness or medical reasons. If you are not under a disability and need a short-term or long-term illness recovery leave, please contact an independent disability attorney.

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Instructions and Help about Fmla return to work form

Hey bear, my name is Lindsay and I'm a legal researcher with Lawsuit Legal. Today, we're going to be discussing the Family Medical Leave Act and the employer obligations that it entails. The Family Medical Leave Act was passed in 1993 as a federal law that requires employers to provide employees with job-protected and unpaid leave for qualified medical and family reasons. These reasons include personal or family illness, family military leave, adoption, and pregnancy. The FMLA was intended to balance the demands of the workplace with the needs of families. According to the Department of Labor, the Family and Medical Leave Act is administered by the Wage and Hour Division of the United States Department of Labor. To be eligible for coverage under the FMLA, an employee must have worked for that employer for at least 12 months, have worked at least 1,250 hours during the 12-month period, and work at a location with at least 50 employees within 75 miles of their workplace. The FMLA creates four options to calculate a 12-month period: the 365-day 12-month calendar year starting January 1st through December 31st, a fixed 12-month period such as a fiscal year or an employee's employment anniversary date, a 12-month period beginning with the date that an employee's first FMLA leave begins, and a 12-month period that goes backward from the date an employee's first FMLA leave begins. Your company is covered by the Family Medical and Leave Act if it has employed 50 or more employees for 20 or more weeks in the current or preceding year. An employee is eligible for leave under the FMLA if they are either a full-time employee, a part-time employee, an employee on leave who is expected to return to work, or an employee who works jointly for the company and another company. There are three...