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Letter of Compassionate Care Leave - Template Form

✓ Designed for use in Canada

Create your Letter of Compassionate Care Leave for use in Canada. 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.

  • Answer 17 simple questions - the document fills in as you go
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  1. 1Answer a few simple questions
  2. 2Preview your document live
  3. 3Pay once - download in Word & PDF

Below you can preview the Letter of Compassionate Care Leave, complete it by answering a few plain-English questions, and download a ready-to-sign copy in Word and PDF - tailored for use in Canada.

What the Letter of Compassionate Care Leave includes

This template is organised into the following sections:

Frequently asked questions

What is a Letter of Compassionate Care Leave?

A Letter of Compassionate Care Leave is a ready-to-use legal template for Canada. You complete it by answering a few plain-English questions, then download the finished document in Word and PDF.

What does the Letter of Compassionate Care Leave cover?

The Letter of Compassionate Care Leave is organised into sections covering § 1. Purpose of Notice, § 2. Family Member and Reason for Leave, § 3. Statutory Entitlement, § 4. Duration of Leave Requested, § 5. Medical Certificate, so the important points are captured in a clear, consistent structure.

What formats can I download?

You can download your completed Letter of Compassionate Care Leave as an editable Microsoft Word (.docx) file and as a PDF.

Can I edit the document later?

Yes - save it to your account and you can re-open, edit and re-download it at any time.

Is a Letter of Compassionate Care Leave legally binding?

Once it is properly completed and signed by everyone involved, a Letter of Compassionate Care Leave is generally legally binding in Canada, provided it meets the legal requirements that apply to this type of document.

What laws apply to a Letter of Compassionate Care Leave in Canada?

A Letter of Compassionate Care Leave should comply with the laws in force in Canada. This template is built around the provisions such situations commonly require, but the rules can vary by region and change over time, so check the current requirements for your case.

Do I need a lawyer to use a Letter of Compassionate Care Leave?

For most standard situations you can complete the Letter of Compassionate Care Leave yourself using the guided questionnaire. For high-value, unusual or high-risk matters, it is sensible to have a qualified lawyer review the finished document.

How do I sign the Letter of Compassionate Care Leave?

Download the completed Letter of Compassionate Care Leave as Word or PDF and sign it as required in Canada. Depending on the document this may involve a handwritten or electronic signature, and some documents also need witnesses.

Is the Letter of Compassionate Care Leave free?

You can preview the Letter of Compassionate Care Leave and fill it in for free. A one-time fee applies only when you download the finished, ready-to-sign document in Word and PDF.

How long does it take to complete a Letter of Compassionate Care Leave?

Most people finish the Letter of Compassionate Care Leave in just a few minutes by answering the plain-English questions. You can save your progress and come back to it at any time.

Prepared and reviewed by the LegalDocs team.

Document preview

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Re: Written Notice of Compassionate Care Leave


Dear ________,

§ 1. Purpose of Notice. Please accept this letter as my formal written notice that I intend to take a Compassionate Care Leave. This notice is provided to you in my capacity as an employee of ________, where I am employed in the position of ________ at the work location identified above.

§ 2. Family Member and Reason for Leave. I require this leave to provide care or support to my ________, a family member within the meaning of the applicable employment standards legislation, who has a serious medical condition with a significant risk of death within a period of twenty-six (26) weeks.

§ 3. Statutory Entitlement. This is a statutory, unpaid, job-protected leave of absence. I am taking this leave pursuant to the applicable employment standards legislation of the Province of ________, including, where applicable in Ontario, the Employment Standards Act, 2000, S.O. 2000, c. 41, as amended, and its regulations. I understand that my maximum entitlement to Compassionate Care Leave is twenty-eight (28) weeks within the applicable statutory period in respect of the same family member.

§ 4. Duration of Leave Requested. I intend for my leave of absence to begin on ________. The duration of leave I presently anticipate requiring is ________, with an expected return-to-work date of ________. I reserve my right to take additional periods of leave up to my full statutory entitlement should the circumstances continue to require it, and I will provide such further notice as the legislation requires.

§ 5. Medical Certificate. A certificate issued by a qualified health practitioner, dated ________, stating that the family member has a serious medical condition with a significant risk of death within the applicable period, is enclosed with this letter as evidence of my entitlement to this leave. I will provide such further documentation as may be reasonably required and as is permitted by law.

§ 6. Record and Filing. I respectfully request that this notice be forwarded to the appropriate department to be documented and placed in my employee file.

Sincerely,




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Date: ________

Enclosure: Certificate of Qualified Health Practitioner

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Fields you complete are inserted into the document live. This template is general guidance only - not legal advice.