Sample Letter To Employee - Fmla/ofla Leave Template printable pdf download

Sample Letter To Employee - Fmla/ofla Leave Template

Code: GCBDA/GDBDA-AR(3)

Yamhill-Carlton

Adopted: 10/09/06

School District 1

Sample Letter to Employee - FMLA/OFLA Leave

The following is a sample cover letter to an employee notifying the employee that the employer is treating

a request for leave as a request for FMLA and/or OFLA leave (either paid or unpaid) that will reduce the

employee’s FMLA and/or OFLA leave entitlement. This letter should be mailed to the employee within

two working days after the employee’s request for the leave along with the FMLA/OFLA notice form.

Dear Employee:

(date)

you advised the district that you were requesting a leave under the Family and Medical

Leave Act (FMLA) and/or Oregon Family Leave Act (OFLA). Under our policy, leaves of absence that

qualify for family and medical leave under state or federal law run concurrently with other types of leave

such as sick leave, vacation leave, short-term disability leave and leave for a workers’ compensation injury

or illness.

We understand the purpose of your requested leave qualifies as family medical leave under [state] [and/or

federal] law. Accordingly, this letter is to notify you that the leave will be counted against your annual

family and medical leave entitlement. Also attached is a form entitled FMLA/OFLA Notice to Employee

which contains other information for you regarding federal and state family medical leave rights.

Sincerely,

[Superintendent]

Enclosure (FMLA/OFLA Notice to Employee form)

Sample Letter to Employee - FMLA/OFLA Leave - GCBDA/GDBDA-AR(3)

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Sample Letter To Employee - Fmla/ofla Leave Template