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Letter of Critical Illness Leave - Template Form

✓ Valid in Canada (English)

Create your Letter of Critical Illness Leave - Template Form for use in Canada (English). 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.

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Letter of Critical Illness Leave - Template Form
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Re: Letter of Critical Illness Leave

Dear ________,

Please accept this letter as my formal written Letter of Critical Illness Leave. I must tend to the urgent needs of my Spouse. I intend for my leave of absence to begin on ________.

This notice shall also be forwarded to the appropriate department to be documented and placed in my employee file.

A certificate from a qualified health practitioner was obtained on ________, which will be enclosed with this letter to prove my entitlement under this leave.

If any other information regarding my leave of absence is required, please do not hesitate to leave me a voicemail or email, and I will attempt to make contact as soon as practicable. Should I not be in contact during my leave, I plan on returning on ________, and may be able to discuss matters with you upon my arrival.

Sincerely,






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