Employer FMLA Eligibility Checklist Template

Assess if your employee is eligible for Family and Medical Leave using this FMLA checklist template.

Has one of your employees asked for a paid extended leave with guaranteed job security? Make sure they qualify by following an eligibility checklist. This template can help you create a branded document to help your HR team follow each item and assess whether the employee can take that leave. To customize the design and the content wording, open the template in Visme’s document editor. Use the practical design tools and features to turn this template into a branded checklist.

• Change colors, fonts and more to fit your branding
• Access free, built-in design assets or upload your own
• Visualize data with customizable charts and widgets
• Add animation, interactivity, audio, video and links
• Download in PDF, JPG, PNG and HTML5 format
• Create page-turners with Visme’s flipbook effect
• Share online with a link or embed on your website



Customize this template to assess FMLA eligibility or check for other checklist templates in different designs.

Edit this template with our printable documents maker!