Connecticut FMLA Tracker Form — Year Measured from Datrequestedes— - Employees with Set Schedule The Connecticut FMLA Tracker Form, specifically designed for employees with a set schedule, is a crucial tool for both employers and employees to accurately track and manage Family and Medical Leave Act (FMLA) entitlements in the state of Connecticut. This form helps organizations comply with state regulations and ensures that employees are granted the appropriate leave duration. This FMLA Tracker Form, unique to Connecticut, measures the FMLA leave year from the date of the initial request. It simplifies the process by providing a comprehensive overview of an employee's FMLA entitlements over the course of a 12-month period, considering their set work schedule. By using this form, employees can conveniently keep track of their FMLA leaves and employers can maintain accurate records. Key Features of Connecticut FMLA Tracker Form — Year Measured from Datrequestedes— - Employees with Set Schedule: 1. Employee Information: — Employee's name, contact details, and employee ID. — Department or position of the employee. 2. FMLA Request Details: — Date of the initial FMLA request— - Type of leave requested (e.g., medical, partaking). — Reason for the leave— - Anticipated start and end dates of the leave. 3. Set Schedule Information: — Daily work schedule of the employee— - Total weekly hours worked. — Start and end times for each workday— - Any specific days off or non-working days. 4. FMLA Allocation: — Total FMLA hours allotted for the 12-month period based on the set schedule. — Remaining FMLA hours after each leave usage. 5. Leave Usage Report: — Detailed records of each FMLA leave taken. — Dates and duration of each leave— - Explanation of leave (e.g., illness, injury). 6. FMLA Certification and Approvals: — Certification form completed by the healthcare provider, if required. — Approvals section for supervisors or HR personnel. 7. FMLA Notification: — Record of the date the employee and employer were notified of FMLA approval. — Methods of notification (e.g., in person, email). Additional Types of Connecticut FMLA Tracker Forms: 1. Connecticut FMLA Tracker Form — Year Measured from Datrequestedes— - Employees with Flexible Schedule: — Similar to the set schedule form, but designed for employees with flexible work schedules. 2. Connecticut FMLA Tracker Form — Year Measured from Datleadav— - Employees with Set Schedule: — Different from the previous form, it measures the FMLA leave year from the date of actual leave, rather than the date of the request, for employees with set schedules. 3. Connecticut FMLA Tracker Form — Year Measured from Datleadav— - Employees with Flexible Schedule: — Similar to the above form, but designed for employees with flexible work schedules. By utilizing the Connecticut FMLA Tracker Form — Year Measured from Datrequestedes— - Employees with Set Schedule, businesses can efficiently manage FMLA leaves while complying with state regulations.