Introduction to Vacation and Time-Off Forms

This section features the following forms. Please click on the appropriate link at left to be taken to the corresponding forms section.

Family & Medical Leave Act (FMLA)

• Checklist for Determining Employee Eligibility for Leaves of Absence
• Notice of Leave of Absence Approval
• Policy on Family and Medical Leave
• Policy on Return to Work after Serious Injury or Illness
• Schedule of Employee Periodic Reports
• Sick Leave (Employee Handbook Statement, Providing for Partial Buyback of Unused Days)
• Sick Leave Policy Providing for Accrual, Advances, and Carryover
• Small-Employer Family Leave Policy
• Family and Medical Leave Act (FMLA) Poster

Family & Medical Leave Act Forms

• Certification of Health Care Provider (DOL Optional Form WH-380) - FMLA Leave
• Request for FMLA Leave
• Request for Medical Leave of Absence (FMLA)
• Optional form to obtain a medical certification from a health care provider

Vacation and Time-Off Policies

• Company Memo to Employees Regarding Flextime
• Employee's Notice of Vacation Choices
• Flexible Paid Absence Policy
• Individual Employee Leave Accrual Account
• Personal Days (Employee Handbook Statement)
• Policy on Funeral Leave
• Policy on Holidays
• Policy on Meal and Rest Periods
• Policy Regarding Earning and Forfeiture of Vacation
• Religious Observance (Employee Handbook Statement)
• Time Off Request
• Vacation Policy

Please note that the forms, checklists and policies presented here are for reference only and should not be used without modification. Each company is different, has its own culture, employee requirements and expectations. Laws change, and these Handbooks may not be in compliance with current rules and regulations. In addition, your state may have additional or different laws and regulations not contemplated herein. Consult appropriate local counsel before adapting any form for use in your company. In addition, the links provided herein are provided for your reference. Although we believe these sites to contain useful information, we have no control over their content and, as such, cannot guarantee their reliability.

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