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.