The Department of Labor requires Employers covered by the FMLA to provide their employees with certain critical notices about the FMLA so that both the employees and the employer have a shared understanding of the terms of the FMLA leave. Cocoon sends required leave-related notices on your behalf!
Please note that employers should still be providing all employees with the General Notice. This satisfies the requirement that every covered employer display or post an informative general notice about the FMLA.
Notices Sent by Cocoon
Eligibility Notices
Eligibility Notice – informs the employee of their eligibility for FMLA leave or at least one reason why the employee is not eligible.
Timing: The eligibility notice is provided within five business days of the initial leave request in Cocoon
Rights and Responsibilities Notice (combined with the Eligibility Notice) – informs the employee of the specific expectations and obligations associated with the FMLA leave request and the consequences of failure to meet those obligations.
Timing: The eligibility notice is provided within five business days of the initial leave request in Cocoon
Designation Notice
Designation Notice – informs the employee whether the FMLA leave request is approved; also informs the employee of the amount of leave that is designated and counted against the employee’s FMLA entitlement. An employer may also use this form to inform the employee that the certification is incomplete or insufficient and additional information is needed.
Timing: The eligibility notice is provided within five business days of Cocoon having enough information to determine whether the leave is FMLA-qualifying
State-specific notices
State Specific Notices: Some states require notices as well. Cocoon will provide any state required notices/brochures to employees on your behalf.
California
Disability and Paid Family Leave Notice – sent to anyone eligible for FMLA.
No State-specified Timing: The required state notices are provided within ten business days of the initial leave request in Cocoon
Pregnancy Disability Leave Notice – sent to birthing parents.
No State-specified Timing: The required state notices are provided within ten business days of the initial leave request in Cocoon
Connecticut
Pregnancy Discrimination and Accommodation in the Workplace – sent to birthing parents.
State-specified Timing: Per state guidance, the required state notices are provided within ten business days of the initial leave request in Cocoon
Delaware
Pregnant Workers Fairness Act – sent to birthing parents.
State-specified Timing: Per state guidance, the required state notices are provided within ten business days of the initial leave request in Cocoon
Massachusetts
MA Paid Family and Medical Leave Notice – sent to anyone eligible for FMLA.
No State-specified Timing: The required state notices are provided within ten business days of the initial leave request in Cocoon
Mass Commission Against Discrimination Guidance – sent to birthing parents.
State-specified Timing: Per state guidance, the required state notices are provided within ten business days of the initial leave request in Cocoon
Nevada
Pregnant Worker’s Fairness Act – sent to birthing parents.
State-specified Timing: Per state guidance, the required state notices are provided within ten business days of the initial leave request in Cocoon
New Jersey
NJ Job-Protected Family Leave Notice – sent to anyone eligible for FMLA.
No State-specified Timing: The required state notices are provided within ten business days of the initial leave request in Cocoon
New Parent Handout – sent to anyone eligible for FMLA.
No State-specified Timing: The required state notices are provided within ten business days of the initial leave request in Cocoon
NJ Unemployment and Temporary Disability Notice – sent to anyone eligible for FMLA.
No State-specified Timing: The required state notices are provided within ten business days of the initial leave request in Cocoon
Anti-Discrimination Notice – sent to birthing parents.
No State-specified Timing: The required state notices are provided within ten business days of the initial leave request in Cocoon
New York
NY Disability Benefits Law Notice – sent to anyone eligible for FMLA.
No State-specified Timing: The required state notices are provided within ten business days of the initial leave request in Cocoon
NY Paid Family Leave Notice – sent to anyone eligible for FMLA.
No State-specified Timing: The required state notices are provided within ten business days of the initial leave request in Cocoon
NY Paid Family Leave Statement of Rights– sent to anyone eligible for FMLA.
No State-specified Timing: The required state notices are provided within ten business days of the initial leave request in Cocoon
Oregon
OR Paid Family and Medical Leave Notice – sent to anyone eligible for FMLA.
State-specified Timing: Per state guidance, the required state notices are provided within five business days of the initial leave request in Cocoon
OR Pregnancy Discrimination Notice – sent to birthing parents.
State-specified Timing: Per state guidance, the required state notices are provided within ten business days of the initial leave request in Cocoon
Rhode Island
Temporary Caregiver Insurance Notice – sent to anyone eligible for FMLA.
No State-specified Timing: The required state notices are provided within ten business days of the initial leave request in Cocoon
RI Department of Labor and Training Posting – sent to anyone eligible for FMLA.
No State-specified Timing: The required state notices are provided within ten business days of the initial leave request in Cocoon
Temporary Disability Insurance Notice – sent to birthing parents.
No State-specified Timing: The required state notices are provided within ten business days of the initial leave request in Cocoon
Pregnancy Discrimination Notice – sent to birthing parents.
State-specified Timing: Per state guidance, the required state notices are provided within ten business days of the initial leave request in Cocoon
Virginia
Virginia Human Rights Act Reasonable Accommodations for Disability Notice – sent to anyone eligible for FMLA.
No State-specified Timing: The required state notices are provided within ten business days of the initial leave request in Cocoon
Pregnancy Anti-discrimination Notice – sent to birthing parents.
State-specified Timing: Per state guidance, the required state notices are provided within ten business days of the initial leave request in Cocoon
Washington
WA PFML Notice – sent to anyone eligible for FMLA.
No State-specified Timing: The required state notices are provided within ten business days of the initial leave request in Cocoon
Washington, D.C.
DC FMLA Notice – sent to anyone eligible for FMLA.
State-specified Timing: Per state guidance, the required state notices are provided within five business days of the initial leave request in Cocoon
DC PFL Notice of Rights – sent to anyone eligible for FMLA.
State-specified Timing: Per state guidance, the required state notices are provided within five business days of the initial leave request in Cocoon
DC PPWFA Notice of Rights – sent to birthing parents.
State-specified Timing: Per state guidance, the required state notices are provided within ten business days of the initial leave request in Cocoon
We hope you find the information, content and materials in our Employer Help Center useful. They are meant for general informational purposes only, and are not intended as legal advice.
Any questions? Please reach out to the Cocoon Support team at: