Letter Requesting Sick Leave - Template, Sample Form Pro · AU-law
✓ Valid in Australia · drafted to comply with local law
Create your Letter Requesting Sick Leave - Template, Sample Form for use in Australia. Answer a few plain-English questions and the document fills in automatically as you go — then download it in Word and PDF, ready to sign or share. This version has been professionally rewritten to comply with local law.
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________
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Employee ID: ________
________
________
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Date: ________
RE: NOTICE OF ABSENCE AND REQUEST FOR PAID PERSONAL/CARER’S (SICK) LEAVE
Dear ________,
I am writing to provide formal written notice, in accordance with Division 7 of Part 2-2 of the Fair Work Act 2009 (Cth) and the terms of my contract of employment, that I am unable to attend work and wish to take paid personal/carer’s (sick) leave.
§ 1. Particulars of Absence
1.1 My absence will commence on ________.
1.2 I anticipate returning to work on ________, which represents a total of ________ working days. Should my circumstances change, I will provide you with further notice as soon as practicable.
1.3 I confirm that, where notice could not be given in advance of my absence, this notice is provided as soon as reasonably practicable in accordance with section 107 of the Fair Work Act 2009 (Cth).
§ 2. Reason for Leave
2.2 The nature of my circumstances is as follows: ________.
2.3 I confirm our discussion of ________, during which you indicated your verbal acknowledgement of my intended absence. This letter is provided as a formal written record of that discussion and of my request.
§ 3. Evidence in Support
3.1 In accordance with section 107(3) of the Fair Work Act 2009 (Cth) and any applicable policy, enterprise agreement or modern award, I attach a medical certificate issued by ________ dated ________ as evidence that would satisfy a reasonable person that I am entitled to this leave.
3.2 I understand that any health information provided is sensitive information for the purposes of the Privacy Act 1988 (Cth), and I request that it be handled accordingly and kept confidential.
§ 4. Continuity of Work and Handover
4.1 To assist in maintaining continuity, I set out below the current work and projects requiring attention or handover during my absence:
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4.2 Where my treating practitioner considers it appropriate, I may be able to perform some duties remotely. I am happy to discuss reasonable arrangements with you in this regard.
§ 5. Contact During Absence
5.1 Should any urgent matter arise during my absence, I may be contacted on ________ or by email at ________.
§ 6. Reservation of Entitlements
6.1 Nothing in this letter is intended to waive or limit any of my entitlements under the Fair Work Act 2009 (Cth), the National Employment Standards, any applicable modern award or enterprise agreement, or my contract of employment, all of which I expressly reserve.
Yours sincerely,
________
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