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FMLA Request Acknowledgment Letter

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This is a letter that acknowledges an employer has received an employee’s formal request for time off pursuant to the provisions of the Family Medical Leave Act (FMLA). This letter can be customized by the user to include whether the leave is for medical reasons or for other purposes. However, this letter does not set forth a determination on whether or not the employee has been approved for the requested leave. This document is ideal for employers to inform employees that they have received their formal request for leave pursuant to the FMLA.

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