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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.
Submit a Formal Leave of Absence Request (DGS OHR 28) form to their immediate supervisor for approval (provide substantiation when required or requested). Provide a reason and a beginning and end date of leave (not to exceed one year).
Include a request for FMLA leave and why you think it qualifies for FMLA protection. Date the leave will begin. Expected date of return to work. Specific dates and times of absence, if applicable.
When you talk to your employer: Provide enough information to indicate that your leave is due to an FMLA-qualifying reason. While you do not have to specifically ask for FMLA leave, you do need to provide enough information so your employer is aware it may be covered by the FMLA.
Employees also must inform the employer if the requested leave is for a reason for which FMLA leave was previously taken or certified. Employees also may be required to provide a certification and periodic recertification supporting the need for leave.