sample fmla extension letter to employer

Here's how you write a medical leave letter indicating the reason for absence. [CDATA[/* >> 0000000683 00000 n Thank you in advance. Though the format and content of your letter may vary depending on your company's rules and policies, companies generally require the letter to contain the following information: 1. endobj If a worker needs extended leave under the ADA, the employer may request medical documentation if it isn't obvious that the condition is an ADA qualifying disability, Kavulich noted. JAN offers the following text as a guide for drafting a notification letter. Do not send any completed certifications or forms to the U.S. Department of Labor, Wage and Hour Division. temp_style.textContent = '.ms-rtestate-field > p:first-child.is-empty.d-none, .ms-rtestate-field > .fltter .is-empty.d-none, .ZWSC-cleaned.is-empty.d-none {display:block !important;}'; Ensure to submit such a request early enough to allow for the proper arrangements to be made. <> Employee Name. >> If the reason you need leave was not foreseeable, notify your employer(s) as soon as possible. trailer endobj .manual-search ul.usa-list li {max-width:100%;} The employer should provide the required notices to the employee seeking leave. 20 0 obj Employers should use forms that are compliant with the California Family Rights Act, rather than the FMLA, so they don't ask unauthorized questions under state law. Alternatively, Employers may use their own forms, if they provide the same basic notice information and require only the same basic certification information. I wish to bring to your attention that I am on a three-month leave owing to a road accident that left me with a spinal injury. 2. Thank you in advance. %PDF-1.5 June 20th, 2018 - Index STEM Extension Tutorial STEM Extension I 20 Request STEM Extension Employer . <> /Names << /Dests 2 0 R>> /Font << /F11 10 0 R /F15 14 0 R /F19 18 0 R >> /Filter [/FlateDecode ] [CDATA[/* >