FMLA Forms | SESCO Management Consultants

RL-1 Employee Request for FMLA (50 ct.)

sescomgt — Thu, 21 Sep 2023 19:37:43 +0000

Used when an employee gives advance notice of the need for FMLA leave or when an employee has already begun an FMLA-qualifying leave.

NK-2 Special Notice to Key Employees (Highest Income) (50 ct.)

sescomgt — Thu, 21 Sep 2023 19:37:42 +0000

FMLA regulations define certain key employees in an organization. These employees are entitled to FMLA leave, but they may be denied restoration of employment if to do so would cause “substantial and grievous economic injury” to the organization.

NOE-1 Notice of Obligations of Employees (50 ct.)

sescomgt — Thu, 21 Sep 2023 19:37:42 +0000

An employer is required to provide the employee with a notice of the employee’s obligations under FMLA and the potential consequences of failure to meet these obligations.

MLC-1 Certification of Physician (50 ct)

sescomgt — Thu, 21 Sep 2023 19:37:41 +0000

Completed by the health care provider when the leave is for a “serious health condition” of the employee or the employee’s immediate family member. Can be used for initial certification, recertification, or second and third medical opinions.

FMLA Kit

sescomgt — Thu, 21 Sep 2023 19:37:40 +0000

”

This kit includes all forms needed to comply with the Family and Medical Leave Act (FMLA).

Employee Request for FMLA
Certification of Physician
Notice of Obligations of Employees
Medical Examiner’s Certification
Special Notice to Key Employees

“

2-D Medical Examiner’s Certification (50 ct.)

sescomgt — Thu, 21 Sep 2023 19:37:39 +0000

Gives employer the information needed to determine whether the individual can safely perform specific job duties, and provides a sound basis for consideration of appropriate accommodations.