Request for Sick Leave - Template, Sample Form

✓ Valid in Nigeria

Create your Request for Sick Leave - Template, Sample 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.

Answer 9 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

Save to access it later, on any device.

Fill in the details

0/9

Type below — the document on the right updates as you go.

Request for Sick Leave - Template, Sample Form

🔒The clauses below are blurred in the preview. Fill in your details, then pay once to unlock the full document and download it as Word & PDF.

________
________

________

________
________

Dear Sir/Madam,

RE: REQUEST FOR SICK LEAVE

I am writing to follow up on the conversation we had on ________ regarding my sick leave request. As you are aware, I need to take a sick leave from work because of the following:

________

If any urgent matter arises during my sick leave, please contact me by phone- ________ or email- ________. I would be grateful if you could approve my request for sick leave with effect from ________ to ________. I will resume my duties immediately upon recovery and the expiration of the leave period. I assure you that I will hand over any pending tasks to a colleague to ensure a smooth continuation of work in my absence.

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

Yours faithfully,

__________________
________

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