Request for Sick Leave - Template, Sample Form Pro · NG-law

Valid in Nigeria · drafted to comply with local law

Create your Request for Sick 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.

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Below you can preview the Request for Sick 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.

What the Request for Sick Leave includes

This template is organised into the following sections:

Frequently asked questions

What is a Request for Sick Leave?

A Request for Sick 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 Sick Leave cover?

The Request for Sick Leave is organised into sections covering RE: FORMAL APPLICATION FOR SICK LEAVE, Enclosure, FOR OFFICIAL USE APPROVAL, so the important points are captured in a clear, consistent structure.

What formats can I download?

You can download your completed Request for Sick 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

________
________
________
Staff No.: ________


Date: ________

The ________
________
________

Dear Sir/Madam,

RE: FORMAL APPLICATION FOR SICK LEAVE

§1. I write further to our conversation of ________ to formally apply for sick leave from my employment as ________ with ________ ("the Company"), pursuant to the terms of my contract of employment dated ________ and in accordance with my entitlement to sick leave under Section 16 of the Labour Act, Cap. L1, Laws of the Federation of Nigeria 2004, and the Company's applicable staff handbook or conditions of service.

§2. I regret to inform you that, on account of ill-health, I am presently unable to discharge my official duties. The nature of my indisposition is as follows:

________

§3. In accordance with Section 16(1) of the Labour Act, I enclose herewith a medical certificate issued by a registered medical practitioner, ________ of ________, certifying my incapacity for work and recommending a period of rest and recuperation.

§4. I therefore respectfully request your approval for sick leave for a period of ________ day(s), with effect from ________ to ________ (both dates inclusive).

§6. To ensure the seamless continuation of work during my absence, I have made arrangements to hand over all pending matters to my colleague, ________, who has kindly agreed to attend to such matters until my return.

§7. Should any urgent matter arise during the period of my absence, I may be reached by telephone on ________ or by electronic mail at ________.

I should be most grateful for your favourable consideration and approval of this application, and I thank you for your understanding.

Yours faithfully,




__________________
________
________

Enclosure: Medical Certificate dated ________


FOR OFFICIAL USE — APPROVAL

Application approved / not approved (delete as applicable).

Approved leave period: from ________ to ________.

Name: ________
Designation: ________
Signature & Date: ________

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