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Sample Letters

• 1. Employee Not FML Eligible — For All FML Requests except PDL
• 2. Employee FML Eligible but Leave Entitlement Exhausted — For All FML Requests except PDL
• 3. Employee FML Eligible — For Leave for Employee's Serious Health Condition
• 4. Employee FML Eligible — For Leave for Family Member's Serious Health Condition
• 5. Employee FML Eligible — For Military Caregiver Leave
• 6. Employee FML Eligible — For Qualifying Exigency Leave
• 7. Employee FML Eligible — For Parental Leave (when Employee is not Birth Mother)
• 8. Employee FML Eligible — For Combined PDL and Parental Leave
• 9. Employee Not FML Eligible — For Requests for PDL only
• 10. Employee FML Eligible but Leave Entitlement Exhausted — For Requests for PDL only
• 11. Employee FML Eligible — For Requests Limited to PDL
• 12. Certification and/or Declaration Not Received — For all FML Leaves
• 13. Certification Incomplete or Insufficient — For all FML Leaves
• 14. Designation Letter — For All Approved and Denied FML Requests except Approved Requests for Combined PDL & Parental Leave
• 15. Designation Letter — For Approved Combined PDL and Parental Leave
• 16. PDL Confirmation Letter — Employee Not FML Eligible or Employee FML Eligible but Leave Entitlement Exhausted
• 17. Letter for Change in End Date of PDL — For Approved Combined PDL and Parental Leave
• 18. Recertification — For Leave for Employee' or Family Member's Serious Health Condition

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