Oregon Request for Extended Personal Leave

State:
Multi-State
Control #:
US-300EM
Format:
Word; 
Rich Text
Instant download

Description

This form is used by an employee to request an extended leave of absence.
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How to fill out Request For Extended Personal Leave?

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FAQ

Some common reasons employees take a leave of absence are to recover from a serious illness, undergo a medical procedure, assist a family member, take an extended trip or welcome a new child into the family.

There is no formal provision in the FMLA for extended leave beyond 12 weeks. However, it is possible for workers to negotiate an extension on a case-by-case basis by discussing their situation with their employer and requesting additional unpaid leave during a family or medical crisis.

Under a temporary administrative order, effective March 18, 2020, Oregon employees may be absent for up to 12 weeks, on a continuous or intermittent basis, because the employee's child's school or place of care has been closed by public authorities, including out of concerns related to the coronavirus (COVID-19)

Here's how to ask for a leave of absence from your job:Understand your legal rights regarding time off and pay.Make the request in person.Give sufficient advance notice.If possible, work with your boss to develop an agreeable plan.Keep track of relevant paperwork.

When requesting a formal leave of absence, your letter should include:Request for a leave of absence,The dates you expect to be away from work,The date you plan to return to work,An offer to provide assistance, if feasible,Thanks for considering your request.

There is no formal provision in the FMLA for extended leave beyond 12 weeks. However, it is possible for workers to negotiate an extension on a case-by-case basis by discussing their situation with their employer and requesting additional unpaid leave during a family or medical crisis.

Extended leave encompasses forms of leave with or without pay that last longer than 15 consecutive workdays. Extended leave may be provided for medical (self and family), parental, military, and personal reasons.

FMLA states that an employee returning from leave is entitled to his or her former job or an equivalent job with the same pay and benefits. OFLA states that an employee returning from leave is entitled to the former job, or to an available equivalent job if the employee agrees or if the former job has been eliminated.

There are some certain points to consider when writing for an extension of leaves.Use formal and polite language.Give date expecting to return.Be brief about the reason for the extension.Express your gratitude in advance.Apologize for the inconvenience.

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Oregon Request for Extended Personal Leave