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Sick Leave Letter Template

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    When requesting leave from work due to an illness, you can use this sick leave letter template. It is designed to be completed and submitted to your office manager or supervisor as needed.

    Most companies today have a Human Resource department that requires various leave request forms be submitted. By using this form you will be one step ahead in following company policy and procedures.

    Simply fill in the necessary information indicated in the letter. This will keep you in compliance with typical office rules and give you a record of your sick leave notice.

    Be sure to discuss the letter to the right supervisor, enter the correct dates of the sick leave request and sign it.

    Additionally, at the end of this document add the phone number where you can be reached during your absence, in the event management finds it necessary to contact you.

    Sample Sick Leave Letter

    (Sender Name)
    (Sender Title/Position)
    (Company Street Address)
    (City, State, Zip Code)


    (Manager Name)
    (Manager Title/Position)
    (Company Street Address)
    (City, State, Zip Code)

    Dear (Manager Name),

    This letter is to tell you that on the advice of my doctor I am unable to report to work from (start date) to (end date). This is due to the fact that I was diagnosed with acute bronchitis.

    Therefore, my doctor has advised me I to stay home, on medication prescribed, for a minimum of 3 days. This advice was given as the result of the fact the bronchitis is contagious until I have been on antibiotics for 72 hours.

    Therefore, I am not able to report back to work until: (date reporting back to duty). I have advised my immediate supervisor of all work that has been completed was on my desk in right file.

    I sincerely apologize and regret any inconvenience this may cause. You may contact me at (phone number) in the event you need to reach me during this time.




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