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Get the free FMLA Intermittent Leave Tracking Sheet - hr ucdavis

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Print Form UNIVERSITY OF CALIFORNIA, DAVIS Intermittent FM/PDL Tracking Use this worksheet to assist you in tracking both exempt and non-exempt employees intermittent usage of Family & Medical Leave
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How to fill out fmla intermittent leave tracking

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How to fill out FMLA intermittent leave tracking:

01
Start by obtaining the necessary forms and documents from your employer or HR department. These forms typically include a Request for FMLA Leave form and an FMLA Intermittent Leave Tracking form.
02
Fill out the Request for FMLA Leave form accurately and completely. Provide all the required information, including your name, employee identification number, department, and the dates for which you require intermittent leave.
03
Clearly state the reason for your FMLA leave. This could be due to a serious health condition, caring for a family member with a serious health condition, or the birth or adoption of a child.
04
Specify the frequency and duration of the intermittent leave you require. Indicate whether it will be a few hours per day, a certain number of days per week, or any other pattern that suits your needs.
05
Attach any supporting documentation required by your employer, such as medical certificates or doctor's notes, to substantiate your need for intermittent leave.
06
Submit the completed Request for FMLA Leave form to your employer or HR department well in advance of the intended leave date. Follow any specific submission procedures outlined by your employer.
07
Once your leave request is approved, you will receive the FMLA Intermittent Leave Tracking form. Fill out this form each time you take intermittent leave.
08
On the FMLA Intermittent Leave Tracking form, record the date and time you took leave, the reason for the leave, and the duration of the leave. Ensure that the form is accurate and complete to maintain clear records of your intermittent leave.
09
Submit the completed FMLA Intermittent Leave Tracking form to your employer or HR department as required. Follow any specific submission procedures or deadlines provided by your employer.

Who needs FMLA intermittent leave tracking?

01
Employees who require intermittent leave under the Family and Medical Leave Act (FMLA) are required to track and document their leave.
02
This includes employees who have a serious health condition, need to care for a family member with a serious health condition, or are taking leave for the birth or adoption of a child.
03
FMLA intermittent leave tracking is essential for employees to accurately record the dates and durations of their intermittent leave, as well as the reasons for the leave.
04
Employers may use this tracking information to ensure compliance with FMLA regulations and to monitor the usage and allocation of leave for their employees.

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