Notice of Bereavement Leave - Template, Sample Form

✓ Valid in Canada (English)

Create your Notice of Bereavement Leave - Template, Sample 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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Notice of Bereavement Leave - Template, Sample Form

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Re: Notice of Bereavement Leave

Dear ________,

Please accept this letter as my formal written Notice of Bereavement Leave. My Spouse has recently passed away and I need this time to cope and visit my family during this difficult situation, and to prepare and attend the funeral. I intend for my personal leave of absence to begin on ________.

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

If ________ requires proof of entitlement of my leave absence, I would refer you to an online funeral home notification or public obituary of ________.

If any other information regarding my personal 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 touch 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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