Sample FMLA Letter To Employee (2022)

When an employee asks FMLA to care for a family member with a serious health condition, the employee receives the same documents: a leave of absence request form, a doctor's certification, and an official notification outlining the employee's and employer's rights and obligations.

Furthermore, the employer gives a document requiring confirmation of the employee's family tie. 

The letter instructs the employee to submit the documentation to the company within 15 days and tells her if the leave will be unpaid or whether she will have to utilise her paid time off. 

When an employee applies for FMLA leave to care for a family member who is a military member, the same information is provided.

Sample FMLA Letter To Employee

Dear (employee’s name):

You have the right to take Family Medical Leave as an employee of the (enter local extension unit) if you or a member of your immediate family (spouse, child, or parent) is injured or sick. 

Employees with a serious health condition are entitled to up to twelve weeks of unpaid absence under the Family Medical Leave Act (FMLA). 

Before being granted FMLA leave without pay, an employee must first utilise their own sick and vacation time to satisfy their FMLA claim. This twelve-week leave period began on (date) for FMLA reasons.

You have hours of vacation leave and hours of sick leave at the moment. Even though the FMLA leave is unpaid, an employee who paid for group health insurance before the FMLA leave can continue to pay the same premium during the FMLA absence (LWOP).

The employer will notify the employee of any outstanding premiums for continuous health insurance coverage if the employee is on LWOP. The employer will continue to pay the employer's half of the health insurance premiums while on FMLA leave, including leave without pay, if appropriate.

Any changes in group health insurance plans or benefits that impact all workers will be applicable to employees on FMLA leave.

Employees on FMLA leave will be notified of any changes in benefits or programmes that are available to all employees.

Kindly have your health care practitioner complete and deliver the certification to our office.

Sincerely,

Local Unit Director's Full Name.

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