Begin Main Content Area

Injury Leave Letter Templates

The following are sample letters that are typically used to administer the injury leave program.  The letter templates may be saved to a file and customized for use for a specific claim or for an individual agency's needs.  Please note that particular forms must often accompany the letters.

Letters

The following letters should be used for employees who are covered by the 274 calendar days (nine months) injury leave provisions.

Alternate Letters

The following letters should be used for employees who are still covered by the 12 months injury leave provisions.