Sample letters for Family Medical Leave (FML) including Pregnancy Disability Leave (PDL), military caregiver, and parental leave.

  1. Employee Not FML Eligible — For All FML Requests except PDL (Pregnancy Disability Leave)
  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 and 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. Re-certification — For Leave for Employee’s or Family Member’s Serious Health Condition