FMLA Leave Request Letter
Request leave under the Family and Medical Leave Act for your own serious health condition, to care for a family member, for the birth or placement of a child, or for a military-related qualifying exigency. Includes your state's specific family leave law, job protection rights, and health insurance continuation requirements.
Statute of Limitations Warning
Legal deadlines apply to your claim. You lose your right to act if you wait too long. Send notice as soon as possible.
Why this letter works:
- Cites the exact law: Automatically applies the correct state and federal statutes to your situation.
- Sets a firm deadline: Legally compels a response within the required statutory timeframe.
- Creates a paper trail: Designed to serve as Exhibit A if you need to escalate to an agency or court.
Answer a few questions and we'll create your personalized letter.
New here? Read the full guide on family and medical leave (fmla) first.
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Your Action Plan
This is the final formal demand before litigation.
Download your personalized PDF immediately after purchase and send it.
Your letter includes a firm deadline. Do not engage in informal text messages during this time.
If they miss the deadline, you have completed the required out-of-court steps. Hand this complete paper trail to a local attorney for litigation.
Eligibility Check
We'll check whether federal FMLA or your state's family leave law applies to your situation.
This determines which state family leave law supplements federal FMLA.
FMLA applies to employers with 50+ employees within 75 miles. Some states have broader coverage.
FMLA requires at least 12 months of employment (need not be consecutive).
FMLA requires 1,250 hours. Full-time is approximately 2,080.