LETTER TO EMPLOYEE TO INITIATE FMLA AND PDL LEAVE 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the date at the top of the letter. This sets the context for your communication.
3. In the greeting section, fill in the employee's name to personalize the letter.
4. For 'Re:', specify the subject as 'Notice of FMLA/PDL Eligibility, Rights and Responsibilities, and Designation of Leave' to clarify the purpose.
5. Complete Section A by filling in dates related to the employee's leave request and eligibility criteria. Ensure accuracy for compliance.
6. In Section B, indicate any previously used FMLA weeks and calculate remaining leave available for clarity.
7. Fill in contact details for health insurance arrangements in Section B, ensuring that all necessary information is provided.
8. In Section C, confirm approval dates and expected return date. This helps set clear expectations for both parties.
9. Finally, sign off with your name and title at the bottom of the letter to formalize it.

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