Free Family Medical Leave Act (FMLA) Letter Template
Family Medical Leave Act (FMLA) Letter
January 11, 2084
To: Emily Davis
Human Resources Manager
[Your Company Name]
123 Business Blvd.
Cityville, ST 12345
Dear Ms. Davis,
I am writing to formally request a leave of absence under the Family Medical Leave Act (FMLA) due to a medical condition that requires my immediate attention. As per the guidelines of FMLA, I am requesting time off to manage a serious health issue that I am currently experiencing.
I have been diagnosed with a serious medical condition that requires treatment and recovery time. My doctor has recommended that I take time off to undergo necessary procedures and focus on recovery. I would like to begin my leave on February 15, 2085, and I anticipate returning to work on March 15, 2085. If my condition requires additional time, I will provide an update and request an extension as necessary.
I understand that medical certification is required for FMLA leave. I am currently in the process of obtaining the necessary documentation from my healthcare provider and will submit it to you as soon as it is available.
Please let me know if you need any further information or documentation to process my request. I am happy to provide any additional details or complete any necessary forms. I appreciate your understanding and support during this time, and I look forward to your confirmation of this leave.
Thank you for your attention to this matter.
Sincerely,
[Your Name]
Marketing Manager
