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The FMLA ensures eligible employees can take job-protected leave for specified family and medical reasons in the USA. For instance, an employee can request a time away because of the adoption of a child or a serious health condition affecting them or their loved one under this act. Bear in mind that the FMLA requires an unpaid leave of absence.

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

If you need to take time off because of serious health issues, you should include a note from your physician that states this. In that case, use the following template.

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FAQ

  • A medical leave of absence letter (letter of health issue) is a notification for one’s superiors that the person won’t be able to work on certain dates because of health-related issues. They are usually followed by a proof (e.g. a note from a medical professional who performed the procedures or diagnosed the issues).

  • To write a letter of health issue, start with a professional greeting, then write down the nature of a medical issue (if it’s not something you wish to keep private), give an estimate of the time you expect to be out of work, and inform when you are likely to return. See our template for a medical leave letter to see how it should look.

  • Medical leave rules differ from organization to organization. One company might ask that you submit a proof of health issues any time you claim a health issue, other might allow you to have a certain number of “sick days” per year for minor problems.

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Medical Leave of Absence Letter Template

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Ease the process of requesting a medical leave with our Medical Leave of Absence Letter Template.

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