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Intermittent FMLA Paperwork: How Do You Complete it? Step 1: Determine Eligibility to Apply for Intermittent Leave. ... Step 2: Download Intermittent FMLA Paperwork. ... Step 3: Employer and Employee Complete Intermittent FMLA Paperwork. ... Step 4: Employee Meets with a Healthcare Provider.
Intermittent/reduced leave schedule When it is medically necessary, employees may take FMLA leave intermittently ? taking leave in separate blocks of time for a single qualifying reason ? or on a reduced leave schedule ? reducing the employee's usual weekly or daily work schedule.
This memo is to notify you of my need for intermittent leave under the Family and Medical Leave Act. I require intermittent leave from [Start Date] to [End Date] . because of: temporary absences due to my own serious health condition.
Intermittent or Reduced Schedule: Only the amount of leave you actually take counts toward your leave entitlement. If you normally work 30 hours a week, but only are able to work 20 hours following surgery, your 10 hours of leave equal one-third of a week of FMLA leave for each week of the reduced-leave schedule.
Examples of intermittent leave include an employee taking a day each week for ongoing cancer treatments or a pregnant employee taking leave as needed for severe morning sickness. Intermittent leave can be taken whenever it is medically necessary.