This form is a sample letter in Word format covering the subject matter of the title of the form.
This form is a sample letter in Word format covering the subject matter of the title of the form.
For more information, please visit paidleave.wa/workers or email paidleave@esd.wa, and refer to this infographic, You can also contact your Human Resources Manager.
This letter is to inform you that your coverage under the Family and Medical Leave Act (FMLA) has been approved for the condition certified by your health care provider.
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For more information, please visit paidleave.wa/workers or email paidleave@esd.wa, and refer to this infographic, You can also contact your Human Resources Manager.
How to Take a Leave of Absence Under FMLA in Washington To care for a seriously ill family member. To treat the employee's own serious health condition. A “qualifying exigency” related to an active duty service member. The birth of a child, the adoption of a child, or the placement of a foster child.
A personal leave of absence is an absence from work taken for personal reasons not otherwise covered by the FMLA or other protected leave policies. Personal leaves of absence are unpaid and are not job-protected.
Under the regulations, an employer must notify an employee whether leave will be designated as FMLA leave within five business days of learning that the leave is being taken for a FMLA-qualifying reason, absent extenuating circumstances.
Qualifying events include serious illnesses or injuries that prevent someone from work, a new child joining a family, or certain military events.