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FMLA Leave Process Flow Chart

The document outlines the Family Medical Leave process flow chart. It involves the following key steps: 1) The employee submits a leave request form to their supervisor. 2) The department determines if the employee is eligible and provides forms. 3) The employee provides supporting documentation within 15 days. 4) The department reviews the documentation and designates approved leave within 5 days, notifying HR of any unpaid leave.

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claoker
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390 views1 page

FMLA Leave Process Flow Chart

The document outlines the Family Medical Leave process flow chart. It involves the following key steps: 1) The employee submits a leave request form to their supervisor. 2) The department determines if the employee is eligible and provides forms. 3) The employee provides supporting documentation within 15 days. 4) The department reviews the documentation and designates approved leave within 5 days, notifying HR of any unpaid leave.

Uploaded by

claoker
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Revised: 7/1/2014

Family Medical Leave Process Flow Chart


Employee completes Employee Request for Family and Medical Responsibilities
Leave Form 30 days prior to leave or as soon as possible if it is Grey = Employee
unforeseen and submits to supervisor. Red = Department

NO Does employee meet event & YES


eligibility requirements? Refer to
FMLA Quick Reference for
guidance.

Within 5 business days of the request, the


department gives the employee a completed Notice of
Within 5 business days of the request, Eligibility & Rights and Responsibilities Form:
the Department gives the employee a  Asking for any additional missing information
completed Notice of Eligibility Rights OR
and Responsibilities Form advising  Indicate no additional information is needed;
If medical certification form was provided with the
him/her that FMLA is not applicable
request, proceed to decision box
and discusses other options, if
available.

Employee provides supporting


documentation/certification within 15 calendar
days of request.

Employee provides supporting


documentation/certification
within 7 calendar days of
request.

Was the supporting


information
Department provides the employee with updated sufficient?
No
information on the Designation Form to indicate that the
information is insufficient and gives the employee another
7 calendar days to provide sufficient information. Yes

Department begins to calculate leave


entitlement by using the FMLA Event, Eligibility,
& Entitlement Calculator and refer to FMLA
Assessment and Tracking Log.

To approve the FMLA request, Department will :


 Provide employee with Designation
Notice within 5 business days
 IF unpaid FMLA , submit an ePAN to HR
 Use FMLA Tracking Log

Revised: 7/1/2014 Family Medical Leave Process Flow Chart NO

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