Family and Medical Leave Policy Template

This family and medical leave policy template has 3 pages and is a MS Word file type listed under our human resources documents.

Sample of our family and medical leave policy template:

FAMILY & MEDICAL LEAVE POLICY PURPOSE The purpose of this Family and Medical Leave Policy is to outline the provisions and procedures for family and medical leave in accordance with the Family and Medical Leave Act (FMLA) and applicable state regulations. This Policy ensures that eligible employees can take unpaid leave for qualifying family and medical reasons while maintaining job protection and health benefits. SCOPE This Policy applies to all eligible employees of [COMPANY NAME] and covers family and medical leave requests made under the FMLA and any applicable state laws. POLICY STATEMENTS Eligibility Eligible Employees: Employees who have worked for [COMPANY NAME] for at least 12 months and have completed at least 1,250 hours of service during the 12-month period preceding the start of the leave are eligible for family and medical leave. Qualifying Reasons for Leave Family Leave: Eligible employees may take up to 12 weeks of unpaid family leave during any 12-month period for the following reasons: Birth and care of a newborn child. Placement of an adopted or foster child. Care for a spouse, child, or parent with a serious health condition. Medical Leave: Eligible employees may take up to 12 weeks of unpaid medical leave during any 12-month period for their own serious health condition that renders them unable to perform their job duties. Notice and Documentation Notice: Employees must provide, where possible, reasonable notice of their intent to take family or medical leave, including the anticipated start date and expected duration of the leave. In cases of foreseeable leave, employees should provide at least 30 days' notice. Medical Certification: Employees seeking medical leave for their own serious health condition or to care for a family member must provide medical certification from a healthcare provider. [COMPANY NAME] may require second and third opinions, at the company's expense. Intermittent and Reduced Schedule Leave