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FMLA Notification Letter. Dear EMPLOYEE, We have reviewed your request for leave under the FMLA and supporting documentation you have provided. This letter is intended solely as notice you are eligible for leave under the Family and Medical Leave Act of 1993 (FMLA).
I require a leave of absence from [Start Date] to [End Date] . because: I am temporarily unable to work because of my own serious health condition. I will be caring for a family member (spouse, child, or parent) with a serious health condition.
An employee must have been employed for at least 1,250 hours of service during the 12-month period immediately preceding the commencement of the leave. The hours of service are counted for the 12-month period immediately preceding the leave and generally must be actual hours worked by the employee.
In the case of a job-related illness or injury, FMLA may run concurrently with Workers' Compensation leave if the illness or injury meets the FMLA definition of a serious health condition and the employee is properly notified.
The FMLA and workers' compensation provisions can overlap. An employee may suffer a workplace injury or illness that is also a "serious health condition" under the FMLA. If this happens, the laws' provisions can run concurrently. In other words, an employee may be off work receiving workers' compensation benefits.