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Letter Requesting Sick Leave - Template, Sample Form

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Date:..........................


RE: REQUEST FOR SICK LEAVE


Dear Employer,

Please accept this letter as my formal written notice that I intend to take sick leave, starting from ________. I intend to be off work until ________. When we spoke on ________, you had given your verbal acceptance of my request for the sick leave, but this letter provides a record of our discussion and my formal request.

The reason I am requesting sick leave is:

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I believe I will be able to work from home during this period.

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If any urgent matters arise during my sick leave, please contact me at ________ or ________. Thank you for your understanding and consideration of my request. I will ensure that any outstanding tasks are handed over appropriately and that I remain contactable for any urgent matters as set out above. Please let me know if you require any further information or documentation in support of this request.


Yours sincerely,



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