Request for Family Medical Leave - Template Form

✓ Valid in Nigeria

Create your Request for Family Medical Leave - Template Form for use in Nigeria. 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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Request for Family Medical Leave - Template Form

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Dear Sir/Madam,

RE: REQUEST FOR FAMILY LEAVE

I am writing to follow up on the conversation we had on ________ regarding my leave request. As you are aware, I need to take a leave from work for ________ to care for my spouse who is very ill.

The leave is expected to start on ________ and end on ________. I have enclosed a medical certificate requiring the need for a family medical leave.

Please notify me if the leave has been approved. If any urgent matter arises during my leave, please contact me by phone- ________ or email- ________. I assure you that I will resume my duties promptly at the end of the approved leave period. I am grateful for your kind consideration of this request and remain willing to provide any further information or documentation that may be required to process my application.

Thank you for your understanding. I look forward to hearing from you.

Yours faithfully,

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