Official Fmla With Kaiser Permanente
Description
How to fill out FMLA Tracker Form - Year Measured From Date Of Request - Employees With Set Schedule?
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FAQ
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.
Have worked for the employer for at least 12 months. Have a minimum of 1,250 hours of service for the employer during the 12-month period immediately preceding the leave. What can I use FMLA for? A serious health condition that makes you unable to perform the essential functions of your job.
FMLA/CFRA provides up to 12 weeks of unpaid, job-protected leave. Private disability insurance or other benefits may be offered by your employer.
How Do I Request FMLA Leave? To take FMLA leave, you must provide your employer with appropriate notice. If you know in advance that you will need FMLA leave (for example, if you are planning to have surgery or you are pregnant), you must give your employer at least 30 days advance notice.
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. Please let me know whether you approve this leave at your earliest convenience.