Document Pattern of Retaliation

Dear [Recipient Name],

I am writing to formally document a pattern of adverse actions that have occurred since I [Protected Activity] on [Activity Date].

Since that date, I have experienced the following:

[Retaliation Events]

Under both the FMLA (29 U.S.C. § 2615) and ADA (42 U.S.C. § 12203), it is unlawful for an employer to retaliate against an employee for exercising their rights. The timing and pattern of these actions strongly suggest retaliation.

I am documenting this pattern in writing to preserve my rights. I request a meeting to discuss these concerns and resolve them. If this pattern continues, I may need to file a formal complaint with the EEOC or my state's civil rights agency.

Sincerely,
[Your Name]