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Dear (Supervisor / HR Manager): Please be advised that I hereby request an FMLA leave for a period of (number of weeks) in connection with my serious health condition. The leave is to start on (date). Attached is my medical note reflecting the need for FMLA leave.
What are some of the responsibilities that employees have during their FMLA leave?
Employees must make reasonable efforts to schedule leave for planned medical treatment so as not to unduly disrupt the employer's operations. Leave due to qualifying exigencies may also be taken on an intermittent basis. Employees may choose or employers may require use of accrued paid leave while taking FMLA leave.
Who can complete FMLA paperwork?
Doctors aren't the only health care providers who may certify FMLA leave. Podiatrists, dentists, clinical psychologists, optometrists and chiropractors can all certify leave, as can nurse practitioners, nurse-midwives, clinical social workers and physician assistants.
What is a key employee under FMLA?
Key employees are those who are paid on a salary basis and are among the highest paid 10 percent of the organization's employees who work within 75 miles of the particular employee's worksite.
The Department has developed optional-use forms which can be used by employers to provide required notices to employees, and by employees to provide ...
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