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Employee Leaves

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California Certification of Health Care Provider for Pregnancy Disability Leave, Transfer and/or Reasonable Accommodation
California Designation of Family and Medical Leave Notice Form
California Employee Medical Certification Form
California Family and Medical Leave Notice of Eligibility and Rights and Responsibilities Form
California Family and Medical Leave of Absence Request Form
California Family Member Medical Certification Form
California Family Rights Act (CFRA) Certification of Health Care Provider Form
California Military Caregiver Leave Certification Form - Current Servicemember
California Military Caregiver Leave Certification Form - Veteran
California Military Exigency Certification Form
California Paid Family Leave Brochure, DE 2511
California Return-to-Work Certification Form
Colorado Designation of Family and Medical Leave Notice Form
Colorado Family and Medical Leave Family Member Medical Certification Form
Colorado Family and Medical Leave Notice of Eligibility and Rights and Responsibilities Form
Colorado Family and Medical Leave of Absence Request Form
Connecticut Family and Medical Leave Act Designation Notice Form
Connecticut Family and Medical Leave Act Family Member Verification Form
Connecticut Family and Medical Leave Act Medical Certification for Employee's Serious Health Condition
Connecticut Family and Medical Leave Act Medical Certification for Family Member's Serious Health Condition
Connecticut Family and Medical Leave Act Medical Certification for Servicemember's Serious Injury or Illness
Connecticut Family and Medical Leave Act Notice of Eligibility and Rights and Responsibilities Form
Emeryville, California, Paid Sick Leave Designation Form
FMLA Intermittent or Reduced Schedule Leave Time Request Form
HIPAA Authorization for Release of Information to Employer for Family Medical Leave Act (FMLA) Purposes Only
IRS Form 8994, Employer Tax Credit for Paid Family and Medical Leave
Los Angeles, California, Paid Sick Leave Determination Request Form
Massachusetts Employee Verification Regarding Authorized Use of Earned Sick Time
Massachusetts Paid Family and Medical Leave Exemption Bond Form
Miami-Dade County, Florida, Designation of Family and Medical Leave Notice Form
Miami-Dade County, Florida, Family and Medical Leave Notice of Eligibility and Rights and Responsibilities Form
Miami-Dade County, Florida, Family and Medical Leave of Absence Request Form
New Jersey Designation of Family and Medical Leave Notice Form
New Jersey Family and Medical Leave Notice of Eligibility and Rights and Responsibilities Form
New Jersey Family and Medical Leave of Absence Request Form
New Jersey Family Member Medical Certification Form
New York City Earned Safe and Sick Time Act Employee Notification Form of Intention to Use Safe and Sick Leave
New York City Earned Safe and Sick Time Act Employee Request Form to Make Up Missed Work as Alternative to Using Safe and Sick Leave
New York City Earned Safe and Sick Time Act Employee Verification Form Regarding Authorized Use of Safe and Sick Leave
New York Paid Family Leave Employee Waiver Form
New York Paid Family Leave Statement of Rights (PFL-271S)
New York Paid Family Leave Voluntary Coverage Form - Employee Contribution Required (PFL-136)
New York Paid Family Leave Voluntary Coverage Form - No Employee Contribution Required (PFL-135)
Reasonable Accommodation Request Form (ADA)
Request for Family and Medical Leave Form
Rhode Island Designation of Family and Medical Leave Notice Form
Rhode Island Family and Medical Leave Notice of Eligibility and Rights and Responsibilities Form
Rhode Island Family and Medical Leave of Absence Request Form
Vermont Designation of Family and Medical Leave Notice Form
Vermont Family and Medical Leave Employee Medical Certification Form
Vermont Family and Medical Leave Family Member Medical Certification Form
Vermont Family and Medical Leave Notice of Eligibility and Rights and Responsibilities Form
Vermont Family and Medical Leave of Absence Request Form
Washington Employee Notice for Use of Paid Sick Leave Form
Washington Employee Notification of Frontloaded Paid Sick Leave Form
Washington Employee Paid Sick Leave Notification Form
Washington Employee Request to Donate Paid Sick Leave Form
Washington Employee Request to Receive Shared Paid Sick Leave Form
Washington Employee Verification for Authorized Use of Paid Sick Leave for Absences Exceeding Three Days Form
WH-380-E Certification of Health Care Provider for Employee's Serious Health Condition Form
WH-380-F Certification of Health Care Provider for Family Member's Serious Health Condition Form
WH-381 Notice of Eligibility and Rights & Responsibilities Form
WH-382 Designation Notice Form
WH-384 Certification of Qualifying Exigency For Military Family Leave Form
WH-385 Certification for Serious Injury or Illness of Current Servicemember for Military Family Leave Form
WH-385-V Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave Form
Wisconsin Designation of Family and Medical Leave Notice Form
Wisconsin Family and Medical Leave Employee Medical Certification Form
Wisconsin Family and Medical Leave Family Member Medical Certification Form
Wisconsin Family and Medical Leave Notice of Eligibility and Rights and Responsibilities Form
Wisconsin Family and Medical Leave of Absence Request Form

Denial of Reinstatement to a Key Employee After FMLA Leave Letter
Designation of FMLA Leave Letter
Exhaustion of FMLA Leave Letter
Failure to Return FMLA Certification Letter
FMLA Key Employee Notification Letter
Incomplete Certification for FMLA Leave (Nonmilitary) Letter
Ineligibility for FMLA Leave Letter
Jury Duty Postponement Request Letter
Key Employee Designation Under the FMLA and Notice of Substantial and Grievous Economic Injury to Employer Letter
Potential Termination of Health Coverage Due to Non-Payment During FMLA Leave Letter
Request for Additional Information for FMLA Military Exigency Leave Letter
Request for Additional Medical Information Under the FMLA Letter
Request for FMLA Recertification of a Family Member's Serious Health Condition Letter
Request for FMLA Recertification of Employee's Serious Health Condition Letter
Request for FMLA Second (and/or Third) Medical Opinion for a Family Member's Serious Health Condition Letter
Request for FMLA Second (and/or Third) Medical Opinion for an Employee's Serious Health Condition Letter
Return to Work at End of FMLA Leave Reminder (One Week to Employee's FMLA Exhaustion) Letter
Warning of Exhaustion of FMLA Leave (2 weeks prior to exhaustion) Letter

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Templates to help you create legally compliant documents relating to employee leaves.

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