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FMLA Designation (Final)

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					                          FMLA Designation (Final)

TO: __[employee’s name]__:


You have requested leave from __[date]__ to __[date]__. Based on the information you
provided, the leave you requested is designated as FMLA leave and will count against
your available FMLA leave time.


_________[your name]__________


Dated: _______________________

				
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