Pennsylvania Memo from Employee Requesting Leave

State:
Multi-State
Control #:
US-407EM
Format:
Word; 
Rich Text
Instant download

Description

This memo may be submitted by an employee to request leave.

How to fill out Memo From Employee Requesting Leave?

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FAQ

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.

Requesting a leave of absenceFamiliarize yourself with your employer's leave of absence policy.Determine the approximate duration of your LOA.Schedule a one-on-one meeting with your direct supervisor.Put your request in writing.Consider whether there are any alternatives.Communicate your leave of absence.

Sample LetterSmith, I am writing to inform you that I will be taking a sick leave because of a serious infection in my throat. I will be absent from work until October 14. I have attached a note from my doctor to confirm that it is necessary for my health and the health of my coworkers for me to take a medical leave.

This letter is intended solely as notice you are eligible for leave under the Family and Medical Leave Act of 1993 (FMLA). FMLA qualifying reason and your rights and responsibilities while on FMLA leave. Birth of your child, and to bond with your newborn child (birth parent).

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.

Reasons to take a leave of absence from workMilitary leave.Sabbatical.Short-term disability.Long-term disability.Family or personal leave.Bereavement.Ongoing education.Extended vacation.

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.

At some point, you may need to request a leave of absence from work. It could be for one of a variety of reasons: personal or family health problems, the birth or adoption of a child, relief from excessive job stress, the loss of a loved one, or the desire to travel or pursue a hobby.

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.

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Pennsylvania Memo from Employee Requesting Leave