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Colorado Designation of Family and Medical Leave Notice Form

Author: Katherine Hinde, Littler

When to Use

A covered Colorado employer may use this form to respond to employees' family and medical leave requests. The employer must inform the employee whether the request has been approved or denied under the federal Family and Medical Leave Act (FMLA) or the Colorado Family Care Act (FCA) and the reason for the denial, if applicable.

The FMLA and the FCA cover employers that employ 50 or more employees in 20 or more workweeks in the current or preceding calendar year and that are engaged in commerce or in any industry or activity affecting commerce.

Customizable Form