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Other names for the document:

Unpaid leave of absence letter sample
Leave of absence letter for personal reasons
Sample letter of authorization for leave of absence
Leave of absence format
Application for leave of absence from company
Acceptable reasons for leave of absence
Leave of absence letter for family reasons
Request letter for leave

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An FMLA leave allows employees to take up to 12 weeks off in a 12-month period. If their absence is not protected by the Family and Medical Leave Act (FMLA), then it's considered a non-FMLA medical leave.
Eligible Reasons to Take Time Off Under the FMLA Birth and care of baby. Adoption of a child. Care for a sick immediate family member (spouse, child or parent). The employee is sick with a serious health condition.
Question: Are there any liability issues in denying an employee an unpaid leave of absence (such as the reason for the absence)? Therefore, without contractual or statutory entitlement, there is no employer liability in denying an employee an unpaid leave of absence.
Provide complete employee contact information, which includes name, address, and phone number. Include the date you will submit the letter. Include the supervisor or manager's name. Include supervisor or manager's title. Add the company name. Include the company's location.