Writing a Leave of Absence Letter (with Samples) | Sample Leave Letter (Request for Leave to Attend Cousin’s Marriage)
Sample 1 – Leave of Absence Letter
89 Kendall Street
Vargas, ND 74569
RE: Requesting Leave of Absence
Dear Mr. Jamison,
As you are well aware, I have been having health problems. Though many methods have been explored for how to correct the problem, surgery is inevitable. The reconstructive surgery on my knee will require a lengthy absence from work. I am so sorry that I have to do this to you, but I am going to have to take the full 12 weeks allowed with FMLA.
My doctor has filled out the request form, which I got from HR. I have attached this to this letter to begin the process. In an effort to be fair to a company that I enjoy working for, I am allowing you a month’s notice to make other arrangements for my position. My surgery is scheduled for DATE. I can work until the DATE, to ensure that there is adequate coverage.
If you need me to train anyone to cover my position, or to wrap up some business matters, I would be more than willing. I anticipate that my return will be DATE. While this is just an estimate, I want you to be prepared. I hope to return before this time and to retain my rightful position.
I appreciate your consideration in this matter. You have always been great to work for through the years and I know you will understand that this is something that must be done. If you have any questions, please feel free to let me know.
Tatum G. Clark
Sample 2 – Leave of Absence Letter
ABC Manufacturing Company
123 Anywhere Drive
Anytown, IL 61081
RE: Requesting Leave of Absence
Dear Mr. Smith,
As you may already know, my young daughter is having some serious health problems. Although she’s seen a number of different health care providers and endured many tests to address the problem, she unfortunately needs surgery. She requires a serious neuro-based type of surgery and therefore I will need to be at her side and care for her for a number of weeks while she recovers. I am sorry to say that I need the full 12 weeks that are allowed under the FMLA policy.
Her doctor has already filled out the request from that I obtained from the human resources department. Because I respect the company I work for and am trying to be as fair as possible, I am giving you a full month’s notice so you’ll have enough time to make adequate arrangements to cover my position while I’m away. My daughter’s surgery is scheduled for DATE. I intend to work up until the previous Friday on DATE to ensure that my job is covered.
I am more than willing to train someone to do my job or wrap up any business matters if you like. I expect to return on DATE. As of right now, these are the anticipated dates for her surgery and my time of leave. If anything changes I will let you know immediately. Hopefully I can return before DATE if all goes better than expected and retain my current position in the company.
I truly appreciate your consideration and understanding concerning this sensitive matter. I respect both you and the company and feel it’s been an honor to work here over the past 12 years. Again, thank you for understanding. If you have any questions or concerns, I intend to be here every day until DATE to talk with you.
(sign your name here)