This policy applies to Goodwill of Colorado, Goodwill Industrial Services Corporation, Goodwill of Colorado Foundation (collectively, Goodwill). To establish a policy and procedure for requesting, granting, denying, and processing Medical (Family and Medical Leave Act (FMLA) and non-FMLA) or Colorado Paid Family Medical Leave (FAMLI) leave of absence at Goodwill.



Attachments:

  1. Attachment 1 – Goodwill of Colorado CO FAMLI Private Plan Workplace Notice
  2. Attachment 2 – Absence Electronic Funds Transfer EFT Authorization
  3. Attachment 3 – Employee Rights under FMLA
  4. Attachment 4 – Certification of Health Care Provider for Employee’s Serious Health Condition (FMLA) (English)
  5. Attachment 4 – Certification of Health Care Provider for Employee’s Serious Health Condition (FMLA) (Spanish)
  6. Attachment 5 – Certification of Health Care Provider for Family Member’s Serious Health Condition (FMLA)
  7. Attachment 6 – Group Health Coverage while on a Leave of Absence
  8. Attachment 7 – Medical Inquiry Form – Return to Work
  9. Attachment 8 – Certification of Qualifying Exigency for Military Family Leave (FMLA)
  10. Attachment 9 – Certification for Serious Injury or Illness of a Current Service Member for Military Family Leave (FMLA)
  11. Attachment 10 – Certification for Serious Injury/Illness of a Veteran for Military Caregiver Leave (FMLA)
  12. Attachment 11 – Certification for Military Family Leave for a Qualifying Exigency (FMLA)
  13. Attachment 12 – Colorado Benefit Calculation Guide
  14. Attachment 13 – Colorado FAMLI FAQ
  15. Attachment 14 – NYL – How to file your Absence or Disability Request
  16. Attachment 15 – NYL Certification COPFML Employee – Self
  17. Attachment 16 – NYL Certification COPFML Care for Family
  18. Attachment 17 – Notice of Eligibility and Rights and Responsibilities (English)
  19. Attachment 18 – Notice of Eligibility and Rights and Responsibilities (Spanish)
  20. Attachment 19 – Designation Notice (English)
  21. Attachment 20 – Designation Notice (Spanish)