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Most FMLA forms do not require you to fill out the form yourselfthey require you to take certain steps to prove your need for taking leave or provide information about how long you'll miss work. It is usually an employer or doctor who fills out the majority of the form.
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.
Deny FMLA leave. If the employee has not returned complete and adequate medical certification within 15 calendar days, and he has not engaged in any good faith efforts to return it, you have the right to deny FMLA leave and subject the employee to your attendance policy, which often will treat the absence as unexcused.
In addition to providing eligible employees an entitlement to leave, the FMLA requires that employers maintain employees' health benefits during leave and restore employees to their same or an equivalent job after leave.
The FMLA entitles eligible employees of covered employers to take unpaid, job-protected leave for specified family and medical reasons with continuation of group health insurance coverage under the same terms and conditions as if the employee had not taken leave.
The FMLA permits employers to request a doctor's note or medical certification when an employee first requests leave under the FMLA. If the employee is on extended leave, a doctor's note can be requested every 30 days.
Employees must give notice at least 30 days in advance if their need for FMLA leave is foreseeable (for example, for non-emergency surgery). An employee who does not give 30 days' notice must explain why such notice was not practicable, if the employer requests.