This letter may be used to inform an employee that the previously supplied information was not sufficient and additional information is required before determining if the employee qualifies for military exigency leave under the Family and Medical Leave Act (FMLA).
According to the Wage and Hour Division of the Department of Labor, an employer may use this form when requiring an employee seeking FMLA protections, because of a need for leave due to the employee's serious health condition, to submit a medical certification issued by the employee's health care provider.
According to the Wage and Hour Division of the Department of Labor, an employer may use this form when requiring an employee seeking military caregiver leave under FMLA, due to a serious injury or illness of a current servicemember, to submit a certification providing sufficient facts to support the request for leave.
According to the Wage and Hour Division of the Department of Labor, an employer may use this form when requiring an employee seeking FMLA protections, because of a need for leave to care for a covered family member with a serious health condition, to submit a medical certification issued by the health care provider of the covered family member.
According to the Wage and Hour Division of the Department of Labor, to be eligible for FMLA leave, an employee must have worked for an employer for at least 12 months, meet the hours of service requirement in the 12 months preceding the leave, and work at a site with at least 50 employees within 75 miles.
According to the Wage and Hour Division of the Department of Labor, an employer may use this form when requiring an employee seeking FMLA leave due to a qualifying exigency to submit a certification.