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FMLA Leave Document Without Pay and similar forms generally necessitate you to search for them and figure out how to fill them out correctly.
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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.
Request a leave of absence 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).
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.
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.
Do I have to return to work to quit? FMLA does not require that you must return to your employment at the end of your leave of absence, or provide two weeks notice of not returning to the company. Unfortunately, you may be immediately terminated if you provide two weeks notice.