FMLA Notification Letter (Intermittent Absences)

FMLA Notification Letter (Intermittent Absences)

Care of a Covered Servicemember

You have met the conditions for eligibility under the Family and Medical Leave Act of 1993 (FMLA). You are eligible under the FMLA to be absent from work to care for a covered servicemember with a serious injury or illness for up to 26 weeks in a 12 month period with the continuation of health, dental and vision coverage. You must be enrolled in the benefit plan to be entitled to the continuation of the benefit coverage. Your FMLA benefit year for the purpose of caring for a covered servicemember is DATE 1 to DATE 2.

Absences due to the care of a covered servicemember with a serious injury or illness during the FMLA benefit year of DATE 1 to DATE 2 will be counted toward your 26 weeks of FMLA eligibility.

The University may temporarily transfer an employee who is absent from work on an intermittent basis to an alternate position with equivalent pay and benefits that better meets the operational needs of the University of Michigan. The alternate position need not have equivalent duties. Because of the operational needs of ______(name of the department), you will be transferred to the alternate position of ______during the period of the intermittent use of your FMLA eligibility. This paragraph is included when the employee’s department decides to transfer the employee to an alternate position to meet operational needs. An employee may only be transferred to an alternate position when the absences are foreseeable/planned.

At the conclusion of the intermittent use of your FMLA eligibility, you will be restored to your former position or an equivalent position. This paragraph is included when the employee’s department decides to transfer the employee to an alternate position to meet operational needs. An employee may only be transferred to an alternate position when the absences are foreseeable/planned.

Information regarding the University’s FMLA policy can be accessed at ______, and the U.S. Department of Labor FMLA poster can be accessed at ______.

If you have any questions regarding this matter, please contact me at PHONE NUMBER, or at EMAIL ADDRESS.

Sincerely,

Cc:

Example: The employee is eligible for the FMLA, and will be absent on an intermittent basis starting on October 10, 2008 to care for a covered servicemember with a serious injury or illness. Please note that the employee’s 26 weeks of FMLA eligibility should be converted to hours (26 weeks x employee’s effort). If the employee’s effort is 100%, the employee has 1,040 hours of FMLA eligibility (26 x 40 = 1,040 hours). The 1,040 hours of FMLA eligibility is reduced by the length of the employee’s intermittent FMLA absences.

DATE 1: Date of the employee’s first absence to care for the covered servicemember. DATE 1 is October 10, 2008.

DATE2: One calendar year after DATE 1. DATE 2 is October 9, 2009.