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  2. Medical Leave of Absence Letter Template

Medical Leave of Absence Letter Template

Prepared for:

[Manager.FirstName][Manager.LastName][Manager.Title]

[Manager.StreetAddress][Manager.City][Manager.State][Manager.PostalCode]

[Manager.Phone][Manager.Email]

Created by:

[Employee.FirstName][Employee.LastName][Employee.Title]

[Employee.StreetAddress][Employee.City][Employee.State][Employee.PostalCode]

[Employee.Phone][Employee.Email]

Image 1

Dear Mr./Mrs. [Manager.LastName],

I am writing this letter to inform you that I must take a leave from work due to medical reasons. I expect to return to my job on (MM.DD.YYYY).

I have included a note from my doctor to confirm the need for this leave.

I apologize for any inconvenience that my absence may cause. Please be advised that I will periodically check my email, as much as my current state allows me. If needed, I can help with (include any job tasks you can complete during the specified time period. In case you are not able to help, omit this sentence).

Please contact me via email [Employee.Email] or phone at [Employee.Phone] in case any urgent matters arise.

Should I need to extend my time off, I will notify you in time. Please tell me if you have any questions or need help with dividing my workload.

Thank you for your understanding in this matter.

Regards,

[Employee.FirstName][Employee.LastName]

Signature

MM / DD / YYYY

Medical Leave of Absence Letter Template

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Use this template — free