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NEW ×194 State Health Insurance Mandates 2026
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FMLA Leave Request Letter

Request protected family or medical leave with dates, coverage plan, and certification cooperation, without disclosing diagnosis.

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Frequently Asked Questions

Am I eligible?

12 months of employment, 1,250 hours, and an employer with 50+ staff within 75 miles. Eligibility is checked before the leave starts, not after. See the FMLA & ADA guide (/guides-fmla-ada.html).

Do I have to say what is wrong with me?

No. The certification form goes between you, the doctor, and HR. The letter states dates and coverage, not diagnosis. The return guide (/guides-fmla-return.html) covers reinstatement.