Free Sample Family Medical Leave Letter Template
Sample Family Medical Leave Letter
June 10, 2080
To: Celeste Raine
Director of Human Resources
Nebula Dynamics
1012 Aurora Parkway
Hawthorne, WY 82401
Dear Ms. Raine,
I am writing to formally request leave under the Family and Medical Leave Act (FMLA) to care for my spouse, who is currently undergoing treatment for a serious health condition. I plan to begin my leave on July 1, 2080, and I anticipate that it will last approximately 8 weeks, with a planned return date of August 26, 2080.
During this time, I will do my best to keep you updated on any changes to my expected return date. Please let me know if there are any additional forms or documentation I need to provide to facilitate this process.
I understand that, per company policy and FMLA guidelines, my position, benefits, and responsibilities will remain secure during my leave. Thank you for your understanding and support as my family navigates this challenging time.
Sincerely,
[Your Name]
Operations Manager
