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Human Resources Division FMLA INTERMITTENT LEAVE TRACKING FORM Record hours used for approved FMLA leave purposes An FMLA Intermittent Leave Tracking Form must be submitted to the Human Resources
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How to fill out fmla intermittent leave tracking

How to fill out FMLA intermittent leave tracking:
01
Obtain the FMLA intermittent leave tracking form from your employer or the Human Resources department.
02
Fill in your personal information, including your name, employee ID number, and contact information.
03
Indicate the start date and end date of each intermittent leave period.
04
Provide a brief description of the reason for the leave and the specific dates and times you will be absent from work.
05
Make sure to accurately record the number of hours or days of leave taken for each intermittent leave period.
06
If your employer requires it, provide any supporting documentation, such as a doctor's note or medical certification, for each leave period.
07
Review the form for completeness and accuracy before submitting it to the appropriate department or supervisor.
Who needs FMLA intermittent leave tracking:
01
Employees who are covered by the Family and Medical Leave Act (FMLA) and require intermittent leave for their own serious health condition or the care of a family member's serious health condition.
02
Employers who are obligated to track and record intermittent leave under the FMLA to ensure compliance with the law and to properly manage employee leave.
03
Human Resources professionals who handle leave administration and need to accurately track and document intermittent leave for reporting and legal purposes.
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What is fmla intermittent leave tracking?
FMLA intermittent leave tracking is the process of monitoring and recording an employee's intermittent use of leave under the Family and Medical Leave Act.
Who is required to file fmla intermittent leave tracking?
Employers covered by the Family and Medical Leave Act are required to track and document employees' use of intermittent leave.
How to fill out fmla intermittent leave tracking?
FMLA intermittent leave tracking can be filled out by documenting the dates and hours of leave taken by an employee on an intermittent basis.
What is the purpose of fmla intermittent leave tracking?
The purpose of FMLA intermittent leave tracking is to ensure compliance with the Family and Medical Leave Act and accurately monitor an employee's use of leave.
What information must be reported on fmla intermittent leave tracking?
Information that must be reported on FMLA intermittent leave tracking includes the dates and hours of leave taken, the reason for the leave, and any other relevant details.
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