Family & Medical Leave (FMLA) Process

FMLA Process for Vivid Impact Team Members

If an employee recognizes his/her condition as potentially being FML the employee shall complete and submit the application for FML. Vivid Impact has no duty to ask if 

Employee Responsibilities
Employees are responsible for the following actions related to complying with the FMLA:

Note: When it is not practicable to provide 30 days notice, or when the need to be absent is not foreseeable, notice must be given as soon as practicable. If an employee does not provide at least 30 days notice of a foreseeable FMLA absence, the employee can be asked to explain the reason for the delay.

Note: Calling in sick without providing more information is not sufficient.

Family Medical Leave Request Process - Important Employee Information Checklist

  1. Complete the FML application. Employee completes the first portion; the physician completes the second portion. Make sure and sign the bottom of the first page.
  2. FMLA requests must be submitted thirty days (30) prior to leave. FML will not be approved retroactively except in the event of a medical emergency.
  3. Requests of intermittent FML will require recertification promptly at 6 month intervals. Failure to provide timely recertification will result in absences not covered by the Family Medical Leave Act.
  4. HR has 5 business days to respond to your request. You will be notified our determination of eligibility.
    If you are approved for FML, any hours used for this purpose (paid or unpaid) are deducted from the 12-weeks maximum allowance.
  5. While on FML, if an extension is needed, you will need to contact your Supervisor and the FML Administrator 5 days in advance of your original date of return. Additional documentation will be required from your Physician to support the extension.
  6. Upon your return to work, you will be required to turn in a return to work certification to HR. Please note that light duty is only allowed in a work related injury.


Revision #2
Created 18 May 2023 19:58:01 by Scott Bruzek
Updated 18 May 2023 20:10:08 by Scott Bruzek