FMLA Usage Tracking Form
This form may be used to determine how much leave is available to an employee who is on FMLA leave. By entering the percentage of time worked by an employee on the "% time" line and then entering the number of hours used each day, the form will self-propagate and calculate.
The "Leave Code" column is for department use only, if you wish to have a record of the time and type of time used for the year. Entering a code in the column has no effect on the numbers. The code you use may be any code you wish, since different departments may use different codes for various leave types.
Open FMLA Usage Tracking Form (Excel)