Family And Medical Leave Equation
You were approved for Family and Medical Leave effective 07/25/15. FMLA and OFLA leave entitlements exhaust when you have used 480 hours in one 12-month period. Your family and medical leave entitlement exhaust on 10/27/15.
As of 10/28/15, I have been approving the use of your accrued leaves through 11/25/15 at which time your accrued leaves have exhausted. You did not return to work 11/26/15 and I have been verbally informed by you that you will need to take additional time off from work to tend to your medical issues.
If you are requesting leave without pay (LWOP) for an extended period, you must submit a written request to me before 12/09/15. You must include a supporting statement from your health care provider to certify (1) your incapacitation or inability to return to work full-time, (2) the period involved, and (3) that the continuing and extended nature of your condition will prevent you from returning to work full-time during that period. Any work absence for which prior approval has not been granted by me may be charged to unauthorized LWOP.
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If your health care provider indicates work restrictions on the release form, these will be reviewed to determine if there is suitable and available
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