Sample Templates & Forms

Sample Templates and Forms

Below are over 50 sample checklists, policies, letters, templates, guides, and more to help you effectively manage your absence management programs. The samples are intended to help you enhance your programs and manage your compliance efforts in the following areas:

  • The Americans with Disabilities Act (ADA) and the ADA accommodation process
  • Company-specific policies (attendance, jury duty, holidays, etc.)
  • The Family and Medical Leave Act (FMLA) and state/local leaves
  • General leave management practices (benchmarking, job analysis, etc.)
  • Return to work and stay at work
Legal Disclaimer

DMEC is not a law firm and cannot provide legal advice. No employer should implement any of the templates and samples provided below without first reviewing them with appropriate legal counsel. All forms are provided without warranty of effectiveness, compliance, or legality.

We recognize that there is no such thing as a perfectly safe and perfectly effective policy, form, or communication, so the balance of risk and reward is yours to determine. However, we also realize that it is difficult to start with a blank sheet of paper, so these samples are offered to help get you started.

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If you are not a DMEC member, we encourage you to join. DMEC members have access to white papers, case studies, @Work magazine articles, free webinars, legislative updates, and much more. These resources will assist you in building an effective and compliant integrated absence management program, saving you time, resources, and money. Learn more.

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