The Rhode Island FMLA Tracker Form — Year Measured from Datrequestedes— - Employees with Set Schedule is a document specifically created for tracking and managing leave under the Family and Medical Leave Act (FMLA) in Rhode Island. This form is applicable for employees with a set schedule and provides an organized structure to record important dates and information related to leave requests. The purpose of the Rhode Island FMLA Tracker Form is to assist employers in complying with the provisions of the FMLA by accurately documenting and calculating leave entitlements for employees. Here is a detailed description of the form and its key components: 1. Employee Information: — Name: This section captures the name of the employee requesting FMLA leave. — Employee ID: Unique identification number assigned to the employee. — Department: The department or division in which the employee works. — Job Title: The employee's job title or designation. 2. Request Details: — Start Date of Leave: The specific date when the FMLA leave is intended to begin. — End Date of Leave: The anticipated date or estimated duration until the employee expects to return to work. — Purpose of Leave: A brief description of the reason for taking FMLA leave, such as the birth of a child, serious health condition, or caring for a family member. 3. FMLA Tracking: — Last 12 Months: This section tracks the employee's FMLA leave usage over the last 12 months, starting from the date of the leave request. — Total FMLA Leave Taken: The cumulative total number of days/hours the employee has previously taken as FMLA leave within the last 12 months. — Balance Remaining: The remaining available FMLA leave days/hours for the employee within the 12-month period. 4. Time Off Requested: — Number of Days Requested: The number of days or hours the employee is requesting for the FMLA leave. — Intermittent Leave: If applicable, the tracker form should have a provision to record intermittent leave, where the employee takes leave in separate blocks or on a reduced schedule basis. 5. Approvals and Notifications: — Supervisor Approval: A designated space for the supervisor or manager to approve or deny the employee's FMLA leave request. — HR Representative Approval: Similarly, a designated space for the HR representative to provide their approval status. — Employee Notification: A section to indicate whether the employee has been officially notified of the approval or denial of their FMLA leave request. Different types or variations of the Rhode Island FMLA Tracker Form may exist based on specific organizational requirements or modifications to comply with any state-specific regulations. Some possible variations could include enhanced sections for documenting medical certification details, additional points for notifying employees of their rights and obligations under FMLA, or customized formatting for digital or physical filing systems. In conclusion, the Rhode Island FMLA Tracker Form — Year Measured from Datrequestedes— - Employees with Set Schedule is a comprehensive document designed to maintain accurate records of FMLA leave requests and usage for employees with consistent work schedules. Employers can utilize this form to ensure compliance with FMLA regulations, track leave entitlements, and effectively manage employee absences.
Para su conveniencia, debajo del texto en español le brindamos la versión completa de este formulario en inglés. For your convenience, the complete English version of this form is attached below the Spanish version.