LETTER ADVISING EMPLOYEE THAT FMLA
LEAVE HAS BEEN EXHAUSTED

Date

Employee’s name

Address

Dear [Employee],

On [Date], you were granted leave under the Family and Medical Leave Act (FMLA). At that time, you were advised that you had [Number] weeks of FMLA leave time available to you. This letter is to inform you that, as of [Date], your FMLA allotment has been exhausted for this year.

You are not entitled to any additional leave under federal or state family/medical leave laws, or family military leave laws, and your accrued, paid leave time has been exhausted. If you may require additional leave time as a reasonable accommodation under the Americans with Disabilities Act, it is your duty to inform [HR Director].

Unless we hear from you otherwise and you have not reported to work by [Date], you are considered terminated as of [Date] in accordance with the FMLA and company policy.

[Your final paycheck and information regarding health care continuation coverage under the Consolidated Omnibus Budget Reconciliation Act will be sent to you shortly. You will be contacted to set up a meeting for the return of keys, i.d. badge, etc., and any final paperwork that needs to be filled out.]