January 2, 2009
Employee name
1900 N Third Street
Clinton, IA 52733
Dear Eric,
According to our records, your absence on January 1, 2009 may have been covered under
the Family and Medical Leave Act of 1993 (FMLA).
On January 2 this office sent you a letter requesting sufficient medical certification for
your absence, to date we have not received this certification.
Because of your failure to provide sufficient medical certification, your request for
FMLA leave has been denied.
This absence will be counted in accordance with our attendance policy.
If you have any questions or concerns, please contact me immediately.
Sincerely yours,
Employee name
Company