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FMLA Abuse: How Employers Can Spot and Stop It

FMLA abuse explained for employers: the red flags, abuse vs fraud, the honest belief rule, and a lawful step-by-step response for a small business.

Nick Anisimov

Nick Anisimov

FirstHR Founder

Benefits
16 min

FMLA Abuse

How a small business can spot, document, and lawfully address suspected FMLA abuse

The first time I suspected an employee might be misusing leave, my instinct was exactly the wrong one: I wanted to confront them and be done with it. What stopped me, luckily, was a nagging sense that FMLA was a legal minefield and that acting on a hunch could turn a staffing frustration into a lawsuit. That instinct was right. FMLA abuse is real and costly, but the way an employer responds to it is where small businesses get into serious legal trouble.

This guide is the careful, employer-side walkthrough I wish I had then. It explains what FMLA abuse actually is, how it differs from fraud, the red flags worth noticing, and, most importantly, the lawful, documented process for responding without triggering an interference or retaliation claim. It is written for the founder, office manager, or HR-of-one at a small business who has to handle this without a legal department, and it leans hard on one theme throughout: suspicion is not evidence, and process protects you.

A crucial caveat before anything else: this is a legally sensitive area, and this article is general information, not legal advice. Every credible source on this topic says the same thing, and so does this one: before you discipline or terminate anyone for suspected FMLA abuse, consult employment counsel. FirstHR helps by tracking leave patterns, storing certifications, and keeping the documentation that a lawful response depends on, but the legal judgment calls belong with a qualified attorney who knows your specific facts and state.

TL;DR
FMLA abuse is when an employee misrepresents the need for leave or uses approved leave in a way that contradicts the certified condition. It differs from legitimate, protected leave, which can be frequent and inconvenient without being abuse. Employers may lawfully address suspected abuse, but only through a documented process: complete medical certification, recertification, second and third opinions, consistent policies, an employee interview, and careful use of evidence, all supported by the honest belief rule. What employers cannot do is discipline someone for using protected leave or act on suspicion alone. Federal FMLA applies only to employers with 50-plus employees, and this is an area to handle with employment counsel.

What Is FMLA Abuse?

FMLA abuse occurs when an employee misuses Family and Medical Leave Act leave, either by misrepresenting the need for it or by using approved leave in a way that contradicts the condition it was granted for. The Family and Medical Leave Act gives eligible employees up to 12 weeks of unpaid, job-protected leave for qualifying medical and family reasons, and abuse is the misuse of that protection through dishonesty rather than legitimate need.

Definition
FMLA Abuse
FMLA abuse is the misuse of Family and Medical Leave Act leave, occurring when an employee misrepresents the need for leave or uses approved leave in a way that contradicts the certified condition. It is distinct from legitimate use of FMLA leave, which is fully protected even when frequent. The defining feature of abuse is dishonesty or misuse, not the amount of leave taken. Federal FMLA is enforced by the US Department of Labor under 29 C.F.R. Part 825.

The single most important thing to understand is the line between abuse and legitimate use. An employee who takes a lot of FMLA leave, or who takes it at inconvenient times, or whose frequent absences strain the team, is not committing abuse if the leave is genuinely for a qualifying reason. The law protects that leave precisely because it is meant to be used when needed. Abuse is not about frequency or inconvenience; it is about misrepresentation, using leave for a reason other than the one it was granted for, or faking the need entirely.

This distinction matters enormously, because the most common and most expensive employer mistake is treating legitimate-but-inconvenient leave as abuse and disciplining the employee for it. That is textbook FMLA interference, and it generates lawsuits. Genuine abuse does happen, and employers have real tools to address it, but the starting posture must be that FMLA leave is protected, and only clear evidence of misrepresentation or misuse changes that. The rest of this guide is about how to tell the difference and respond lawfully, but the very first question is whether FMLA applies to you at all.

Does FMLA Even Apply to Your Business?

Before worrying about abuse, confirm that federal FMLA covers your business, because many small businesses are not covered at all. The federal FMLA applies only to employers with 50 or more employees within a 75-mile radius. If you have fewer than 50 employees, the federal law generally does not apply to you, and the whole framework of FMLA abuse, certification, and the honest belief rule may not be your concern under federal law.

The 50-Employee Threshold
Federal FMLA covers employers with 50 or more employees within a 75-mile radius, and it covers employees who have worked at least 1,250 hours over the past 12 months. Many small businesses fall below this threshold and are not subject to federal FMLA. However, a growing number of states have their own family and medical leave laws, some with much lower employee thresholds, so a business not covered federally may still be covered by state law. Confirm both your federal coverage and any applicable state leave law.

This threshold is genuinely important for a small business, because it changes what rules you are operating under. If you are below 50 employees and no state leave law applies, then an employee's leave is governed by your own policies and other laws, not FMLA, and the specific FMLA concepts in this guide may not bind you. That said, do not assume you are exempt: count carefully, since the 50-employee test has specific rules, and check whether your state has its own leave law with a lower threshold.

The state-law layer is increasingly significant. Many states have enacted their own family and medical leave or paid family leave programs, and some apply to much smaller employers than the federal 50-employee floor. So the practical first step for any small business facing a suspected-misuse situation is to determine which law actually governs: federal FMLA, a state leave law, or just your own policies. The rest of this guide addresses federal FMLA, which is the framework most of the abuse discussion is built around, but the same careful, documented approach is wise under any leave law. For the fundamentals of the law itself, the guide to what FMLA is covers eligibility and coverage in depth.

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FMLA Abuse vs FMLA Fraud

People use FMLA abuse and FMLA fraud interchangeably, but they sit at different points on a spectrum of severity, and the distinction is worth understanding. Both describe misuse of leave, but fraud specifically involves dishonesty in obtaining or using the leave, which is the more serious end and carries clearer legal consequences.

FMLA abuseFMLA fraud
What it meansMisusing leave, from bending rules to deceptionObtaining or using leave through clear dishonesty
ExamplesSuspicious intermittent patterns, leave after denied vacationFaking a condition, altering a certification, lying about use
SeverityBroad, ranges from questionable to seriousThe serious end of the spectrum
Legal footingRequires careful, documented handlingAn employee who fraudulently obtains leave loses FMLA protection
Employer responseInvestigate and document before actingInvestigate, document, and consult counsel before acting

The practical significance of the fraud end is legal. Federal regulations are explicit that an employee who fraudulently obtains FMLA leave is not protected by the law's job restoration or health-benefit provisions. In other words, genuine fraud strips away the FMLA shield that would otherwise protect the employee's job. That is a powerful principle for employers, but it depends entirely on being able to show the fraud, which brings the discussion back to evidence and process.

For most employers, the abuse-versus-fraud label matters less than the response, which is the same either way: do not act on suspicion, build a documented factual record, and involve counsel before taking adverse action. Whether the situation is called abuse or fraud, the legal risk of getting the process wrong is identical. So while it helps to know that fraud is the more serious and more clearly actionable form, the safe approach treats any suspected misuse with the same careful, evidence-first discipline. Understanding the specific forms misuse takes is the next step.

Common Types of FMLA Abuse

FMLA abuse takes several recognizable forms, and knowing them helps an employer distinguish genuine misuse from legitimate leave. The most-discussed types cluster around timing patterns, intermittent leave, and documentation problems. None of these is proof of abuse on its own, but each is a recognized pattern worth understanding.

Type of suspected abuseWhat it looks likeWhy it is hard to judge
Weekend and holiday clusteringIntermittent leave that consistently extends weekends or holidaysA genuine condition can legitimately flare on those days
Intermittent leave misuseLeave taken in a pattern that does not fit the certified conditionIntermittent leave is legitimately unpredictable and hard to prove misused
Leave after a denial or disciplineLeave requested soon after a denied vacation or a write-upTiming is suggestive but can be coincidental
Documentation problemsVague, incomplete, altered, or inconsistent certificationsIncomplete forms are often innocent oversights to be cured
Contradicted limitationsActivity, side work, or posts that contradict stated restrictionsRequires careful verification, not assumption, before acting

The most cited pattern is leave that clusters suspiciously around weekends and holidays, sometimes called the Friday-Monday pattern, where an employee's intermittent leave consistently extends weekends or falls on the days around them. Another is intermittent leave used in a way that does not match the certified condition, which is widely regarded as the hardest form of abuse to detect and prove, precisely because intermittent leave is legitimately unpredictable. A third is leave requested suspiciously soon after a denied vacation request or a disciplinary action, suggesting the leave may be a substitute for time off the employee could not otherwise get.

Documentation-based abuse is another category: medical certifications that are vague, incomplete, or, in the more serious cases, altered or inconsistent with prior submissions. There is also the classic contradiction between claimed limitations and actual activity, an employee certified as unable to perform physical work who is seen doing exactly that, whether at a second job, in public, or on social media. These behavioral contradictions are the basis of many of the leading FMLA abuse court cases.

It bears repeating that each of these is a reason to look more carefully, not a conclusion. An employee whose legitimate chronic condition genuinely flares on Mondays is not abusing leave, and an incomplete certification is often just an oversight to be cured, not fraud. The types describe patterns that warrant a lawful, careful look, and the entire skill of handling FMLA abuse well is investigating those patterns without prejudging them or interfering with protected leave. That skill starts with recognizing red flags for what they are.

Red Flags to Watch For

Certain signs recur often enough in genuine FMLA abuse cases that they are worth watching for, as long as you treat them as prompts to look closer rather than as evidence in themselves. Here are the red flags employers and courts most commonly encounter.

Common red flags that may warrant a closer look
1Absences that cluster around weekends, holidays, or right after denied vacation
2Intermittent leave used in a pattern that does not match the certified condition
3Leave requested immediately after discipline or a denied day-off request
4Medical certifications that are vague, incomplete, altered, or inconsistent
5Activity that contradicts stated limitations, such as physical work or travel
6Working a second job or side work while on leave for the same kind of task
A red flag is a reason to look more carefully and follow a lawful process, not a basis to discipline on its own. Suspicion alone is never enough.

The pattern-based flags, absences around weekends and holidays, or timing that follows a denied vacation or discipline, are the most common triggers for a closer look. They are suggestive because they hint at motives other than genuine medical need, but they are also easy to explain innocently, which is exactly why they justify investigation rather than action. A genuine condition can produce a weekend-adjacent pattern, so the flag is a question, not an answer.

The evidence-based flags, activity that contradicts stated limitations, altered certifications, or secondary employment involving restricted tasks, are more probative because they involve concrete facts rather than mere timing. These are the flags that, properly documented, can build an actual case. But even here, the response is to gather and verify, not to assume. An employer who sees a social media photo that seems to contradict a certification has a reason to investigate carefully through counsel, not a reason to fire on the spot. The critical discipline is knowing what you are not allowed to do, which comes next.

What You Cannot Do

Before any discussion of how to respond to suspected abuse, an employer has to understand the hard limits, because crossing them is where the expensive lawsuits come from. The FMLA prohibits interference with an employee's leave rights and retaliation for using them, and these protections apply even when the employer suspects abuse.

The Lines You Must Not Cross
You cannot discipline or terminate an employee simply for using approved FMLA leave, even if the absences are frequent, inconvenient, or poorly timed. You cannot act on suspicion alone, without a documented investigation and factual evidence. You cannot treat this employee differently from others in how you apply attendance and call-in policies. And you cannot retaliate against someone for having taken protected leave. Doing any of these can create an FMLA interference or retaliation claim, regardless of whether abuse was actually occurring.

The reason these limits are so important is that FMLA interference and retaliation claims do not require the employee to have been a model of honesty. If an employer disciplines someone for protected leave, or acts on a hunch without evidence, the employer can lose the case even if the employee really was bending the rules, because the employer's process was unlawful. The employee's conduct and the employer's process are judged separately, and a bad process sinks an otherwise justified action.

This is why the entire recommended approach to FMLA abuse is built around process and documentation rather than speed. The instinct to confront and resolve quickly, the exact instinct I had, is the dangerous one. The lawful path is slower and more deliberate: gather evidence through legitimate channels, document everything, apply policies uniformly, and involve counsel before acting. With the prohibitions clear, the doctrine that makes lawful action possible is the honest belief rule.

The Honest Belief Rule

The honest belief rule is the legal doctrine that makes it possible for employers to act on suspected FMLA abuse without being automatically liable if they turn out to be mistaken. It is the single most important legal concept for an employer in this area, and understanding it correctly is what separates a defensible action from a costly one.

Under the honest belief rule, as developed by the courts, an employer who takes action based on a genuine, reasonably grounded belief that an employee misused FMLA leave is generally protected, even if that belief later turns out to be mistaken. The leading articulation comes from the Sixth Circuit case Jaszczyszyn v. Advantage Health Physician Network, where an employee on leave for a supposedly incapacitating back condition was photographed at a festival, the photos surfaced on social media, and the court upheld the employer's action based on its honest belief that the conduct contradicted the leave. The principle is that if the employer honestly believed its reason, based on a reasonable investigation, the employee cannot show the reason was pretext even if it was ultimately wrong.

Honest Belief Requires a Real Investigation
The honest belief rule is grounded in federal regulation: per 29 C.F.R. 825.216(d), an employee who fraudulently obtains FMLA leave is not protected by the law's job restoration provisions. But the rule protects only employers who actually investigated. It does not shield an employer that acts on a hunch without proper investigation and foundation. The belief must be honest and reasonably grounded in documented evidence, not merely asserted after the fact.

The crucial limitation, and the part employers most often miss, is that the honest belief rule is not a license to act on hunches. It protects a belief that is honest and reasonable, which means it must rest on an actual, good-faith investigation and documented evidence. An employer who fires someone without investigating, and then claims an honest belief, will not be protected, because there was no reasonable basis for the belief. The rule rewards process, not intuition. That is precisely why the lawful response process below matters: it is what turns a suspicion into the kind of documented, reasonable belief the rule protects.

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A Lawful Step-by-Step Response

When you genuinely suspect FMLA abuse, the goal is to build a documented factual record through legitimate channels, so that any action you eventually take rests on evidence and a reasonable, honest belief. Here is a careful, lawful sequence for a small business, keeping in mind that counsel should be involved before any adverse action.

1
Require complete medical certification
Use proper certification for the serious health condition, and give the employee the legally required time to provide it. A complete, specific certification is the foundation for spotting misuse.
2
Use the cure process for deficient certifications
If a certification is vague, ambiguous, or incomplete, give the employee the required opportunity to cure the deficiency rather than denying leave outright. Document what was missing and what was provided.
3
Request recertification when doubt arises
When circumstances change or information casts doubt on the stated reason, request recertification within the limits the regulations allow, generally not more often than every 30 days absent specific triggers.
4
Consider second and third opinions
For your own doubts about a certification, you may obtain a second medical opinion, and a third if needed, at the employer's expense, following the regulatory process.
5
Apply call-in and attendance policies uniformly
Enforce your call-in and attendance rules consistently for everyone. Uniform application is both a detection tool and a legal protection against discrimination claims.
6
Interview the employee
Give the employee a fair chance to explain the suspected misuse before any decision. Their explanation is part of the record, and a good-faith process requires hearing it.
7
Document everything and consult counsel
Keep a thorough, dated record of every step and piece of evidence, and involve employment counsel before disciplining or terminating. Documentation and legal review are what make an action defensible.

Notice that this sequence is deliberately unglamorous. It is mostly about using the legitimate tools the FMLA already provides, certification, recertification, second opinions, uniform policies, and an interview, to develop facts, rather than about surveillance or confrontation. Those legitimate tools are powerful precisely because they are lawful and create a clean record. Reaching for private investigators or social media evidence is possible but should be done cautiously and through counsel, since it carries its own risks.

The throughline of the whole process is documentation. Every certification, every policy application, every conversation, and every piece of evidence should be recorded, dated, and kept. This is not bureaucratic busywork; it is the raw material of the honest belief defense and the difference between a termination that stands and one that becomes a lawsuit. Keeping leave records, certifications, and attendance data organized in one place, which is exactly what an HR system does, is what makes this level of documentation realistic for a small business. The certification tools deserve a closer look, since they are the backbone of a lawful response.

Using Medical Certification Properly

Medical certification is the employer's most important and most legitimate tool for managing FMLA leave and detecting misuse, and using it correctly is central to any lawful response. Certification is the process by which an employee substantiates the serious health condition behind their leave, and it gives the employer a factual basis to evaluate whether leave is being used as certified.

When an employee requests FMLA leave for a serious health condition, the employer may require a medical certification supporting the need for leave, and must give the employee at least 15 calendar days to provide it. A complete certification describes the condition and its expected duration and limitations, which is what later lets an employer notice when actual conduct contradicts the stated restrictions. Incomplete or vague certifications are common and are not themselves evidence of abuse; the regulations require the employer to notify the employee and give them an opportunity, generally seven calendar days, to cure the deficiency before denying leave.

Certification Is a Tool, Not a Trap
The point of certification is to establish a clear, factual basis for the leave, not to catch employees out. Use it evenhandedly: require it consistently, give the full legally required time to provide and to cure deficiencies, and use recertification and second or third opinions when you have genuine doubt, following the regulatory process. Handled this way, certification protects legitimate leave-takers and gives you a lawful record when misuse is real. Handled as a gotcha, it becomes evidence of interference.

Recertification and additional medical opinions extend the certification toolkit. When circumstances cast doubt on a stated reason, an employer can generally request recertification, subject to timing limits, and can seek a second medical opinion, and a third tie-breaking opinion, at the employer's expense when it doubts the initial certification. Used properly and through the regulatory process, these tools let an employer test a questionable certification lawfully. The federal regulations governing certification, including the timelines and cure process, are found in the Department of Labor's FMLA rules, and confirming the current requirements with counsel is wise before relying on them.

Preventing FMLA Abuse

The best defense against FMLA abuse is a set of consistent, well-documented practices that make misuse harder and make lawful responses easier, applied before any specific suspicion arises. Prevention is less about catching abuse and more about running leave administration so cleanly that abuse is both discouraged and, when it happens, straightforward to address.

The foundation is uniform, well-documented policies. A clear written attendance and call-in policy, applied identically to everyone, both discourages casual misuse and protects you legally, since consistent application is a defense against discrimination claims. Requiring complete certification for every FMLA leave, as a matter of routine rather than only when you are suspicious, normalizes the practice and builds the factual baseline that makes later contradictions visible. Doing these things always, not selectively, is what keeps them lawful.

Good record-keeping is the other pillar. Tracking leave usage, certifications, and attendance patterns accurately, in one place, lets you notice genuine anomalies early and gives you the documentation a lawful response requires. This is also where the temptation to single people out must be resisted: the goal is consistent tracking for everyone, from which real patterns emerge, not surveillance of individuals you have prejudged. Solid leave and absence management practices, backed by a clear understanding of your other employment obligations, are what make this sustainable.

For a small business without a dedicated HR team, the practical answer is to let a system carry the administrative load. Storing certifications, tracking leave balances and patterns, applying policies consistently, and keeping dated records is exactly the kind of work that overwhelms a busy owner doing it by hand but that software handles reliably. That infrastructure is what turns FMLA administration from a source of legal anxiety into a routine, defensible process, which is the whole goal. When abuse does surface, the same records make a lawful, documented response possible.

What worked for me
The situation that first scared me into learning all this ended undramatically, which is exactly the point. Instead of confronting the employee as I wanted to, I did the boring, lawful things: I made sure the certification was complete, applied our call-in policy the same way I did for everyone, kept careful notes, and called an employment lawyer before doing anything else. It turned out the leave was legitimate, and my early instinct to discipline would have been a costly mistake. The lesson stuck: with FMLA, the process is not red tape around the real decision, the process is the decision. Slowing down and documenting is what protects you, whether the abuse is real or imagined.
Key Takeaways
FMLA abuse is misrepresenting the need for leave or using it in a way that contradicts the certified condition. Frequent or inconvenient but legitimate leave is protected, not abuse.
Federal FMLA applies only to employers with 50 or more employees, so many small businesses are not covered, though state leave laws may apply with lower thresholds.
Fraud is the serious end of abuse. An employee who fraudulently obtains FMLA leave loses the law's job restoration protection, but the employer must be able to prove it.
You cannot discipline someone for using protected leave or act on suspicion alone. Doing so creates interference or retaliation claims even if abuse was occurring.
The honest belief rule protects employers who act on a genuine, reasonably investigated belief of misuse, but only when backed by a real investigation and documentation.
Respond to suspected abuse with a documented process: complete certification, cure and recertification, second opinions, uniform policies, an interview, and counsel before acting.

Frequently Asked Questions

What is FMLA abuse?

FMLA abuse occurs when an employee misuses Family and Medical Leave Act leave, either by misrepresenting the need for leave or by using approved leave in a way that contradicts the condition it was granted for. Examples include claiming leave for a medical condition while doing activities that contradict the stated limitations, using intermittent leave in a suspicious pattern, or providing false or altered medical documentation. FMLA abuse is different from simply using a lot of legitimate leave, which is fully protected. The key is dishonesty or misuse, not frequency. Because the line can be subtle and the legal stakes are high, employers should follow a careful, documented process rather than acting on suspicion.

What is the difference between FMLA abuse and FMLA fraud?

The terms overlap, but fraud is the more serious end of the spectrum. FMLA abuse is a broad term for misusing leave, which can range from bending the rules to outright deception. FMLA fraud specifically means obtaining or using FMLA leave through dishonesty, such as faking a condition, altering a medical certification, or lying about how leave is being used. Federal regulations state that an employee who fraudulently obtains FMLA leave is not protected by the law's job restoration provisions. In practice, employers treat both similarly: investigate carefully, document thoroughly, and consult counsel, since the response to suspected misuse must be lawful whether it is called abuse or fraud.

Can you be fired for FMLA abuse?

Yes, an employee can be lawfully terminated for FMLA abuse or fraud, but only if the employer follows a proper process. Federal regulations provide that an employee who fraudulently obtains FMLA leave is not protected by the law's job restoration provisions, so genuine fraud can justify termination. Courts also apply an honest belief rule: if an employer honestly believes, based on a reasonable investigation and documented evidence, that the employee misused leave, the termination can stand even if the belief later turns out to be mistaken. The critical requirement is a fair, documented process. Firing someone on mere suspicion, without investigation, exposes the employer to interference and retaliation claims.

How do you prove FMLA abuse?

Proving FMLA abuse requires documented evidence, not patterns or suspicion alone. Employers build a case through legitimate tools: complete medical certification and recertification, second and third medical opinions at the employer's expense, consistent enforcement of call-in and attendance policies, interviews with the employee about the suspected misuse, and, used cautiously and through counsel, evidence like social media posts or surveillance that contradicts the stated limitations. The goal is a factual record showing the leave was misused or fraudulently obtained. Because the legal line between building a lawful case and interfering with protected leave is fine, employers should document everything and involve employment counsel before taking action.

What counts as FMLA abuse?

Common examples of FMLA abuse include using intermittent leave in a pattern that does not fit the certified condition, such as consistently only around weekends; requesting leave right after being denied vacation or facing discipline; submitting vague, incomplete, or altered medical certifications; performing activities that clearly contradict the stated medical limitations; and working another job while on leave for a condition that supposedly prevents that same kind of work. What does not count as abuse is legitimate use of leave, even if it is frequent or inconvenient for the business. The distinguishing factor is misrepresentation or misuse, not the amount of leave taken.

What is the honest belief rule in FMLA cases?

The honest belief rule is a legal doctrine that protects employers who act on a genuine, reasonable belief that an employee abused FMLA leave, even if that belief later proves mistaken. Under this rule, developed in court cases, as long as the employer honestly believed the reason for its action based on a reasonable investigation, the employee generally cannot show the reason was a pretext, even if the employer turns out to be wrong. The rule is not a license to act on hunches: it requires an actual, documented, good-faith investigation. An employer who fires someone without proper investigation and evidence cannot rely on it, which is why process and documentation matter so much.

Can an employer investigate suspected FMLA abuse?

Yes. Employers have the right to investigate suspected FMLA abuse using lawful tools, and doing so properly is how they protect both the business and legitimate leave-takers. Legitimate investigation methods include requesting complete medical certification, seeking recertification when circumstances cast doubt on the stated reason, obtaining second and third medical opinions, enforcing uniform call-in policies, interviewing the employee, and carefully reviewing evidence such as public social media or surveillance through counsel. What employers cannot do is discipline an employee simply for using approved leave or act on suspicion without evidence. The line is between building a documented factual case, which is allowed, and interfering with or retaliating for protected leave, which is not.

Does FMLA apply to small businesses?

The federal FMLA applies only to employers with 50 or more employees within a 75-mile radius, so many small businesses are not covered by the federal law at all. If you have fewer than 50 employees, federal FMLA generally does not apply to you, though you should confirm your exact count and structure. However, a growing number of states have their own paid or unpaid family and medical leave laws with lower employee thresholds, so a small business not covered by federal FMLA may still be covered by a state leave law. Check both the federal 50-employee threshold and any state leave law that applies where your employees work.

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