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Request for Family Medical Leave - Template Form

✓ Valid in Nigeria

Create your Request for Family Medical Leave 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.

  • Answer 11 simple questions - the document fills in as you go
  • Live preview: watch your document update in real time
  • Download as Word (.docx) and PDF
  • Edit your answers and re-download anytime

How it works

  1. 1Answer a few simple questions
  2. 2Preview your document live
  3. 3Pay once - download in Word & PDF

Below you can preview the Request for Family Medical 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 Nigeria.

Frequently asked questions

What is a Request for Family Medical Leave?

A Request for Family Medical Leave is a ready-to-use legal template for Nigeria. You complete it by answering a few plain-English questions, then download the finished document in Word and PDF.

What does the Request for Family Medical Leave cover?

The Request for Family Medical Leave is organised into sections covering RE: REQUEST FOR FAMILY LEAVE, so the important points are captured in a clear, consistent structure.

What formats can I download?

You can download your completed Request for Family Medical 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.

Prepared and reviewed by the LegalDocs team.

Document preview

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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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Fill out the template →

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