Regrettably i am writing to inform you that you are about to have exhaust ed your 12 weeks hours of leave under the family and medical leave act fmla as of date. Medical leave due to surgery for one week.
Requesting medical leave of absence.
Surgery sample letter for medical leave of absence from work. To take medical leave when the employee is unable to work because of a serious health condition. Medical leave due to surgery for one week. Graham a medical leave of absence from his work at oceanside corporation due to a confirmed case of laryngitis coupled with swelling of the throat and extreme irritation.
Janet gibson 1416 action street berkeley ca 94703 may 13 2020 larry elton hr manager big company 2600 flake street berkeley ca 94703. You will learn how to write sick leave application due to surgery for office from below formats. Kindly refer to the records and bring any matter to my attention.
Sample leave application letter for surgery operation plastic surgery heart brain nose breast of yourself your father mother uncle son daughter brother or sister etc in the hospital. Sample 1 medical leave of absence letter. I am requesting that you grant mr.
Going forward i plan to work longer for no pay to recompense the loss. Addressing the employer the employee states the reason behind his request of absence. I hope this letter finds you recuperating and getting your strength back tweak language as appropriate for the employee s or family member s situation.
Checkout the sample embedded here. Free medical leave letter. Dear sir this is to inform you that i have a surgery early morning tomorrow as per the doctor s advice.
I know my absence from work inflicted some losses on your firm. Ross i am writing on behalf of david graham my patient and your employee. Sample sick leave application for office due to surgery here briefly focus sample sick leave application format for an employee staff members company staff and workers of office company or factory due to surgery.
This type of letters can be acceptable only in the event where employees undergo with surgery. In case of long term leave one might need to produce a medical leave letter got from physician. This letter can be written on behalf of the employee.
You can modify these formats as your requirement date the managing director institute name institute address sub. You can follow these sample as email letter. Definitely you require proof of my surgery.
Before writing this letter and demanding for a medical leave it is very important that an employee knows the company. In a medical leave of absence letter an employee formally documents a request for time off from work due to medical or health reasons. Bear in mind that according to the fmla you are required by law to provide 30 day advance notice in writing if your need for the leave is predictable such as the anticipated birth of a child.
For that i attach the relevant medical records to this letter.