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Leave of Absence Request Letter

Last revision Last revision 08/03/2024
Formats FormatsWord and PDF
Size Size1 page
Download a basic template (FREE) Create a customized document

Last revisionLast revision: 08/03/2024

FormatsAvailable formats: Word and PDF

SizeSize: 1 page

Download a basic template (FREE) Create a customized document

This Leave of Absence Request Letter is a document that can be used by an employee to request time off from work for an extended period of time. This document is different from a Letter Asking Employer for Vacation Time Off, which specifically pertains to requesting time off for leisure purposes and usually covers a short period of time. Instead, this document covers a broader range of circumstances, such as medical leave, family emergencies, or other personal circumstances that would require an employee to take a formal leave of absence. Though at some companies, it is acceptable to make an oral request for a leave of absence, many companies require a formal written request. Even for employers who do not require a written request, making a request in writing is typically a good idea so that there is a record of the request for future reference in case of later dispute.

This letter covers a range of different circumstances, including the use of unpaid or paid leave they have accumulated while working, the use of Family Medical Leave Act (FMLA) leave for medical emergencies, or an employee requesting a leave of absence that is not covered in by official time they have already accumulated with the employer. For more information about specific policies related to employers, please refer to the company's Employment Agreement. This contract details the scope of the employment and outlines specifics such as leave policies and related matters. An employer may also have a Vacation and Leave Policy that covers extended leaves of absence.


How to use this document

This document includes everything necessary to make a written request for a leave of absence from an employer. It addresses several scenarios, such as FMLA leave or paid leave that has been accumulated. The letter provides essential details of the leave request, including the contact information for both the employee and the employer, the duration of the leave, the purpose for which the leave is being used, and the type of leave time that is being requested.

After the letter is completed, it should be printed out, signed by the employee, and submitted to the Human Resources department or the appropriate supervisor. It can also be downloaded, attached to an email, and sent electronically.


Applicable law

Vacation and other forms of employee leave are the subject of both federal and state law. The primary law affecting leave related to health issues is the Family Medical Leave Act, which requires employers with 50 employees or greater to offer employees time off to care for their family in medical situations. The duration and terms of military leave are often governed by applicable employment laws, such as the Uniformed Services Employment and Reemployment Rights Act (USERRA) in the United States. This legislation protects the rights of employees in the military, ensuring their ability to return to their civilian jobs after completing their military service. In addition to these federal laws, many of the laws governing employee leave requirements are state-specific.


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