Sample letter of leave of absence from work

Sample letter of leave of absence from work (Samples)

In this guide we will see “sample letters of leave of absence from work” and some considerations when writing one.

Sample letter of leave of absence from work

If you are wondering how to request a leave of absence from work here are some tips of a leave application:

• Request formally through a written letter your leave of absence.
• Include the dates you expect to be away from work.
• Include the date you plan to return to resume your duties.
• Offer to provide additional assistance if possible.
• Thank your employer for considering your request.

If you need to take a leave of absence from work (paid or unpaid) because of personal reasons, sick leave (illness), parental leave, educational reasons, etc., as an employee who was an agreement/contract with an employee, you need to let them know (preferably in advance) if you have to be absent from work/office because not warning them could carry disciplinary actions and the cancellation/termination of your contract. 

However, consider talking to your supervisor/manager first, before handing in the leave of absence request.

Together with the HR department (if they have a special form) they could help you find alternative solutions such as asking for holiday, bereavement (compassionate leave), etc., depending on your circumstances. 

Here there are some sample letters of leave of absence from work that you can adapt to your personal circumstances.

Sample 1:

“Your Name

Your Address

Your City, Postcode

Your Phone Number

Date

Supervisor’s Name

Title

Organization

Address

City, Postcode

Dear Mr./Ms. [Last Name]:

This letter is a formal request for a leave of absence, to follow up on our meeting yesterday. As we discussed, I would like to request a leave of absence from April 1, 2019, through June 30, 2019.

I will return to work on July 1, 2019.

Please let me know whether you require any further information or have any questions.

Thank you very much for your consideration in affording me this opportunity for personal leave.

Sincerely,

Your Signature (hard copy letter)

Your Typed Name”

Sample 2: (Email)

“Subject: Leave of Absence – John Dooley

Dear Jennifer,

As we discussed yesterday, I would like to request a formal leave of absence from my job. I plan to be away from July 1, 2019 ,to December 31, 2019, returning to work on January 1, 2020.

If approved, I would be glad to help with a plan to cover my workload in my absence. I would also be available to answer questions and provide assistance while I am away.

Please let me know whether you require any additional information. Thank you very much for your consideration of my request.

Best,

John”

Sample 3:

“Insert Your Name

Insert Your Home Mailing Address

Insert City, Postcode

Date

Recipient’s Name (Supervisor or HR Contact)

Company Name

Mailing Address

City, Postcode

Mr./Ms./Mrs. Last Name:

The purpose of this letter is to request approval for a leave of absence from my position with insert company name from insert beginning date through insert ending date. The reason for this request is (briefly explain the reason that you are requesting time off from work, being sure that it is consistent with your company’s leave of absence policy requirements).

I will make sure that you and any other employees who may be impacted by my leave of absence are aware of the status of any pending projects and client expectations well in advance of my departure, and I will be happy to train any co-workers who will handle my duties while I am out. Additionally, during the time I am on leave, I can be reached at insert cell number and insert personal email address if there are any questions about my work.

It is my full intention to return to work as scheduled, and do not expect to need to request additional time off for this matter beyond the dates indicated above. Please let me know if you need any additional information, and let me know your decision as soon as possible. I will need to know if my request is approved no later than insert date. Thank you for your consideration.

Regards,

Insert Your Name”

Sample 4: (Surgery)

“Your full name, job title

Address

City, postcode

Date

Mr./Mrs. Last Name, 

I am writing to you to submit a formal request for a medical leave of absence due to my own serious health condition that requires surgery. My doctor has scheduled a surgical procedure for (insert date) and expects that I will need (insert number) of weeks for recovery before being released to return to work. My physician will be happy to provide a formal medical certification document on my behalf. Please let me know the next steps I should take to secure approval for this request. Thank you in advance for your consideration. 

Sincerely, 

Your signature

Your typed name”

Sample 5: (Serious Illness)

“Your full name, job title

Home Address

City, Postcode

Date

Mr./Mrs. Last Name, 

I am writing to you to formally request a medical leave of absence due to a serious health condition that I have been diagnosed with. Due to my illness, my physician has advised me to seek an immediate medical leave from work and expects that I will be unable to return to work for (insert number) weeks or longer, depending on my response to treatment and recovery progress. I will be happy to have my doctor submit a medical certification form to verify the need for leave. Please let me know what additional information is needed in order to process this request. I greatly appreciate your assistance with this important matter.

Sincerely, 

Your signature

Your typed name”

Sample 6:

“Dear Recipient name:

I am writing to request a 15-day leave of absence due to medical reasons. As I have not been keeping good health for a while my doctor has advised me to take some days off work. If possible, I would like to leave work on August 1 and return on August 16.

Although I will not be in the office during this time period, I will still be available via email or phone. Please do not hesitate to contact me if you have any questions. 

Thank you very much for your consideration.

Sincerely,

Your signature

Your name”

Sample 7:

“Dear Recipient Name:

This letter is a formal request for my leave of absence that we discussed yesterday. As you know, I have been working continuously for over one year. During the last few months, I did not take even a day off work. Unfortunately, this has started taking a toll on my health. Since my problems are mainly stress-related, my doctor has advised me to take a family holiday for at least 10 days. If possible, I would like to leave work on dash and return dash. 

Please let me know if there is anything that I can do to facilitate the transition of my work to my reliever.

Sincerely

Signature

Your name”

Sample 8:

“Frieda Finely

1234 W. Whipple

Calhoun, CA 99999

March 8, 2018

Jason Livingston

ACME Packaging

555 E. Renaud

Calhoun, CA 99999

Re: Request for Leave of Absence

Dear Mr. Livingston:

I am writing this to request a leave of absence for March 8 and 9, 2018. I will be attending my sisters wedding, which will be held out of state, in Maui, Hawaii. I plan on returning March 12, 2018 to resume my regularly scheduled hours.

I will make certain that all work is up to date, and all clients notified of my absence for those particular days.

Sincerely,

Frieda Finley”