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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.
This memo is to notify you of my need for intermittent leave under the Family and Medical Leave Act. I require intermittent leave from [Start Date] to [End Date] . because of: temporary absences due to my own serious health condition.
How to write a personal leave letter How much time you require off. This seems like a no-brainer, but you shouldn't forget this key piece of information: how much time you need. ... The start and end date of your leave. ... The reason you're requesting leave. ... Contact information and a plan. ... A thank you.
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.
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.