Forms/FMLA/FMLA Tracking Sheetmaster.htm
FMLA TRACKING SHEETThis form is to be used to track employee hours in each rolling year for FMLA leave.Employee Name: Job Title and Employee # Rollling Year Start Date Mon123456789101112JanFebMarAprMayJunJulAugSepOctNovDecSpecial Notes: Full time eligible employees have a rolling twelve (12) week [480 hours] maximum entitlement. Employees are required to use (draw from) allcompensated leave banks while on FMLA status.To date you have used hours as of resulting in an unused balance ofexhaustion date is projected to be ................
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