FMLA × Workers' Comp Coordination Pack

Letters & Case Docs

FMLA × Workers' Comp Coordination Pack

Documentation support for coordinating FMLA leave with a workers'-comp transitional-duty period — not a compliance tool. A concurrent-designation notice, a coordination cover memo that points to the official DOL FMLA forms by name, and a coordination checklist, plus an FMLA Concurrent Leave Tracker (Excel) that tallies FMLA hours used against the entitlement you enter. It documents; it makes no FMLA determination.

zip121 KBVersion 1.0.0 · Updated July 2026Instant download · Secure checkout
$39one-time purchase

Instant digital download · all sales final. Refund policy

What's Included

  • FMLA / workers'-comp concurrent-designation notice
  • Coordination cover memo referencing the official DOL FMLA forms by name
  • Concurrent leave coordination checklist
  • FMLA Concurrent Leave Tracker (Excel) — hours used, remaining, and exhaustion warning
  • Compatible with Microsoft Word/Excel and Google Docs/Sheets
  • Instant download after purchase · Lifetime re-download from your account

Ready to automate the full RTW workflow?

Transitional Duty Manager replaces these manual templates with a live case-management system — O*NET duty matching, WA SAW reimbursement packet export, and an immutable audit trail.

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