Letter To Employee To Initiate Fmla/cfra Leave (Page 2 of 2) in pdf

Further, this leave will be considered protected under FMLA/CFRA, and the leave will be

counted against your FMLA/CFRA leave entitlement. You have the right to reinstatement to the

same position, or an equivalent position in terms of pay, benefits, and terms and conditions of

employment, upon your return from FMLA/CFRA leave. If your leave extends beyond the end

of your FMLA/CFRA entitlement, you do not have reinstatement rights.

C. Designation of Leave

Your FMLA/CFRA leave request is approved as of _____. All leave taken for this particular

FMLA-qualifying reason will be designated as FMLA/CFRA leave.

The FMLA requires that you notify us as soon as practicable if dates of your scheduled leave

change or are extended. Based upon the information you have provided to date, you will utilize

____ weeks of FMLA/CFRA leave. Your expected return to work date is ___________.

You will be required to present a fitness-for-duty certificate before returning to work, and the

certification must address your ability to perform the essential functions of your position. An

essential function job description is attached. If such certification is not received on time, your

return to work may be delayed until the certification is provided.

Please contact ________________________ at (___)___-____ if you have any questions or

would like any more information regarding FMLA/CFRA leave or this information. We wish

you the best and look forward to your return.

Sincerely,

________________

P•A•S Associates has expertise in human resources and other areas involving employment issues. P•A•S Associates, in providing this form, does not represent that it

is acting as an attorney or that it is giving any form of legal advice or legal opinion. P•A•S Associates recommends that before making any decision pertaining to

human resource issues or employment issues, including the utilization of information contained on this website, the advice of legal counsel to determine the legal

ramifications of the use of any such information be obtained.P•A•S Rev. 03/11

Letter To Employee To Initiate Fmla/cfra Leave Page 2

Related Articles

Related forms

Related Categories