Tag Archives: Medical Leave

Application

Leave application due to covid-19 in family

Leave a comment

These formats are real facilitation for those who wanted to take leaves due to infected cases in the family.

Leave Application Due to COVID-19 in Family

To,

The CEO

 RDSG Cotton mill Private Limited,

Texas, United States of America.

Subject: Requesting Leave application due to covid-19 in family:

Respected Sir,

                          I hope you will be enchanted in your life and I pray the same for you for eternity. I am a supervisor in the Packaging department of your renowned company. I work here for the last 20 years and never taken leave from my job, but now my family needs me as my parents are infected with coronavirus and I could not leave them on their own. Please arrange someone in my place for 15 days. Kindly grant me leaves for a month so that I can take care of them in a better way. I hope you will consider my case with affection and consideration. Thanking in anticipation.

Yours Faithfully,

Mr. Jacob Ronny,

12th June 2021

Leave Application due to covid-19 in the Family in law

To,

The Principal,

TIMS International College for Girls,

California, United States of America.

Subject: Requesting for Leave application due to covid-19 in family:

Respected Sir,

                              Greetings! I pray you may be in the happiest of states and welcomed by every person you meet! I am a librarian in this college. I work here for the last two decades. I always kept my students close to my heart and took every possible step in their betterment in form of books. My wife, Ms. Eliezer Rock had gone to visit her family the previous week, and now I got the news that her mother is sick with this virus. In her absence, there is nobody in my house to take care of the chores, so I want to apply for 15 days’ leaves. After 15 days, my wife will return home and I will be back to work. Please grant me the said leaves and make me grateful. Thank you.

Yours Truly,

Mr. Rock Bonn

12th June 2021

Application

Request Application for Issuance Medical certificate

Leave a comment

Below sample Request application Format for the issuance of Medical Certificate. You can use these sample issuance of a medical certificate from a doctor, institute, medical center, hospital etc. You can change these sample as per your requirement.

Request Application for issuance medical certificate

To,

The Medical Specialist,

Doctor’s Hospital.

Dear Sir,

Subject: Request Application for issuance medical certificate

Dear Dr. Jennifer,

I am Ian, I was your patient of eyesight for a few weeks. You prescribed me medicine and told me to rest for 2 weeks at home whenever I start the medicine. I work at a multinational company called Winzip Insurance as an Administrator and I need a medical certificate so I can apply for a leave of 2 weeks. For leaves over a week, my company requires a medical certificate. Without the issuance of a medical certificate, my leave would not be approved. Please issue me a medical certificate stating that I need a rest of 2 weeks and during that time I won’t be able to come to the office. 

Kind Regards,

Ian

222, B- Baker Street, Lahore

Sample Medical Certificate Issuance Request

Doctor’s Hospital

Subject: Medical Certificate Issuance Request

Dear Dr. Emily,

I am Gabriel, 15 days ago I had an accident and I was put under your care. During that time, I had to miss University because for the initial 5 days I was admitted to the hospital and later on I was prescribed bed rest to let my injuries heal completely. Now that I’m fully fit, I’d like to resume going to my university. I was marked absent during the time I missed University and fined as well. In order to waive that fine, my university has asked me to get a medical certificate issued by the doctor I was getting treatment from. I request you to please issue me a medical certificate stating I met an accident and you prescribed me bed rest of 2 weeks so I can resume going to University and get the fine waived.

Kind Regards,

Gabriel

leave application

Medical Unfit Leave Request Letter

Leave a comment

Medical Unfit Leave Request Letter

Subject: Medical Unfit Leave Request Letter by Student

Respected Supervisor,

With due reverence, it is requested that I need leave for two days from university. I participated in sports fest happening in university. I am an athlete so it is usually my obligation to participate and play for my team in games organized by Sports Club. As being a team leader, I had a lot of responsibilities to make my team win. I was playing the game in which I got hurt and my knee got fractured. Fortunately, it was last day of sports fest so my team did not have to bear any loss but I am not in my right health. Therefore, it is a request to permit me leave.

Yours Obediently,

Taha Khan

Roll No: 042

Medical Unfit Leave Request Letter Sample Format by Employee

Dear TL,

It is to inform you that I fell from stairs today while coming for office. I injured myself a lot. I got a lot of bruises from the injury which has made me unable to walk properly. My back hurts the most. Doctor has advised me to take rest for three days maximum and prescribed me painkillers too. Therefore, it is my request to you to grant me leave for two days only. I hope that I can get well in two days. It would be very good for my health to take rest at home. I hope you permit me leave as soon as possible. Thanking you.

Yours Sincerely,

Mania Gorge

Medical Unfit Leave Letter By Teacher

Respected Principal,

With all due respect it is stated that I am very sick from past two days. Due to change in weather, my health got disturbed and there is continuous cough. I have severe temperature too. I need to get it checked from the doctor. I need a leave from work for two days so I can go for check-up and also take rest in mean time. Please put substitute to my class so their lectures won’t miss. I will be back to work as soon as my health get recovered. I hope you approve my application. Thanking you in anticipation.

Yours Truly,

Maha Robert

Senior Science Teacher

leave application

Leave Application for Visiting Sick Mother

Leave a comment

Here are sample leave applications templates for mother /Father illness/sickness due to transplantation, surgery, operation, heart attack, sugar, blood pressure, cancer etc. You can modify the easy format as your requirement.

Leave Application for Visiting Sick Mother

To,

The Manager,
Nestle International.

Dear Sir,

With due respect, it is stated with much distress that my mother is going through organ transplantation. She is having renal transplantation on this Thursday. I have to visit her and check upon her condition. Also, I need to be evaluating the donor health record because there is always a chance of cancer or tumor to be transferred from donor to recipient. I have a lot of going on my back. With responsibility this big on my head, I need to be there to take charge and make sure that all procedure goes on accurately. I will be very thankful if you grant me leave for two days.

Yours Sincerely,

Lina Bhatu

Leave Application due to Mother Sickness

To,
Andy Wood
Human Resource Manager, Turk Plast Pvt Ltd.

Respected Sir,

It is humbly stated that I work in this organization in Management department as senior head. I have been an employee of this organization for 4 months. It is to request you that I require leave for three days to visit my sick mother. Sadly, she has been diagnosed with brain tumor and our all family is going through a very hard time. This grief has shook us in worst ways. My mother wants us to visit her as soon as possible. Please permit me for leave. I will get back to work as soon as my mother condition stabilizes. I shall be very thankful to you for this.

Yours Truly,

Robert

Mother Serious Leave Application

Respectfully, I want to inform you that I need leave for two days only. I have received a call from our family doctor that my mother is not doing well and her joints pain is tremendously increasing. She needs some more high dosage drugs and surgical procedures and doctors need me approval before going for any alternative. They have scheduled a next concern session on Thursday this week. I
hope you understand my circumstances and permit me leave as early as possible.
I shall be grateful. I have already dealt with my clients and they are completely fine with delay orders. Thanking you.

Yours Faithfully,
Andy Wood

leave application

Leave Application for Medical Treatment of IVF

Leave a comment

Sample letter format of requesting medical leave for the treatment of IVF by female teacher. Diseases are part of life and should be tackle with care and concern otherwise any disease maltreated will result into cancer. These formats are free of cost!

Leave Application for Medical Treatment of IVF

To,
Mr. Principal,
Atom and Sundry System,
Texas, United State of America.

Subject: Requesting medical leave for the treatment of IVF by
female teacher

Respected Sir,

It is to state with much care and respect that I am an English teacher and needing 3 months’ medical leave as I am suffering from the ailment of IVF. The concerned doctor had said to treat it on time otherwise results will be disaster and I cannot take such risk in my life as I want to live and I love my life as well. Kindly grant me the said leaves so that I can take better care of myself. I am attaching medical certificate with it as a proof and for prompt action from your side.Thank you and looking forward for a kind action.

Sincerely Yours ,
Ms. Lorre Layman,
28th April, 2021.

Sample Medical Leave Application for the
Treatment of IVF

To,
Mr. Regional Head,
Amen and Sundry System,
Texas, United State of America.

Subject: Requesting medical leave for the treatment of IVF by female employee

Respected Sir,

It is to state with much reverence that I am Ms. Mary Lennox and I am staff manager of this reputable company and serving here from the last many years and never filed for a single leave so far, but now I
be in need of leaves. The reason behind this leave is that I am having IVF that needs to be treated well in time otherwise it could risk my life to death. Kindly see the medical certificate attached with this application and consider the need for urgent leaves. Please see to this at your earliest and make me thankful.Thank you and looking forward for a generous and prompt action.

Yours Truly,
Ms. Mary Lennox,
28th April, 2021.

Application To The Manager Requesting Leave For IVF Treatment In English

The Manager,
Amazon
Gurugram,
Delhi,

Subject: Leave Application for IVF Treatment

Respected Madam,
Most humbly, this is to bring to your kind notice that I, Smita, Technical Head, would not be able to come to the office from 27th December, 2022-1st January, 2023 because I have to go to the gynecologist regarding my IVF treatment. Previously, I’ve had two miscarriages and now I am unable to bear a child despite various efforts. Thus this time, the doctor has advised me to take proper rest after this treatment starts.

Hence the only resort now is this fertility treatment to see my dream of becoming a mother come true and bear an offspring. Thus, I hereby request you to grant me a leave on the dates mentioned above. I will complete my target assigned for the days when I will be on leave from home. I assure you that I will join the office soon in good health.

I will be obliged to you for accepting my leave application.

Thanking you
Yours faithfully
Smita E

Leave Application for Medical Checkup

[Your Name]
[Your Address]
[City, State, ZIP Code]
[Email Address]

[Supervisor’s Name]
[Company Name]
[Company Address]
[City, State, ZIP Code]

Dear [Supervisor’s Name],

I am writing to request a leave of absence for a medical checkup. Due to some health concerns that require prompt attention, I have scheduled a medical appointment with my healthcare provider on [Date of the Medical Checkup]. I anticipate that this appointment may take a significant portion of the day.

I understand the importance of maintaining productivity and ensuring that my responsibilities are covered during my absence. To minimize any disruption to the team’s workflow, I have taken the following steps:

  1. I will ensure that all my pending tasks and projects are up to date and well-documented before my leave.
  2. I have informed [Colleague’s Name], my colleague in [Department Name], about my scheduled medical checkup. [He/She] has kindly agreed to cover for me during my absence and will be available to address any urgent matters that may arise in my absence.
  3. I will be reachable via email or phone in case of any critical issues that require my immediate attention during my absence.

I apologize for any inconvenience this may cause and appreciate your understanding and support in granting me this leave for a necessary medical checkup. I assure you that I will make every effort to ensure a smooth workflow during my absence.

Please let me know if you require any further information or if there are any specific procedures I should follow in my absence. I will provide any necessary updates regarding my return and any relevant medical documentation as required by company policy.

Thank you for your prompt attention to this matter, and I look forward to your approval of my leave request.

Sincerely,

[Your Name]

Sample Leave Application for Medical Treatment

[Your Name]
[Your Address]
[City, State, ZIP Code]
Date]

[Supervisor’s Name]
[Company Name]
[Company Address]

Dear [Supervisor’s Name],

I am writing to request a leave of absence for medical treatment. I have recently been diagnosed with a medical condition that requires immediate attention and treatment from my healthcare provider. As a result, I will need to take time off from work to undergo the necessary medical procedures and recover.

I understand the importance of my role and the impact of my absence on the team’s workflow. I want to assure you that I will make every effort to minimize any disruption during my leave. Here is how I plan to manage my responsibilities during my absence:

  1. I will ensure that all my pending tasks and projects are organized and handed over to [Colleague’s Name] in [Department Name]. [He/She] has kindly agreed to cover for me during my absence and will be responsible for overseeing my ongoing projects and addressing any urgent matters that may arise.
  2. I will maintain communication via email or phone in case there are any critical issues that require my attention during my absence.

I am requesting leave starting from [Start Date] and anticipate that I will need [Number of Days] days for my medical treatment and recovery. I plan to return to work on [Expected Date of Return], barring any unforeseen complications.

Please let me know if you need any further information or if there are specific procedures I should follow during my absence.

Thank you for your prompt attention to this matter.

Sincerely,

[Your Name]

leave application

Leave Application due to Medical Examination and Care 

Leave a comment

Leave Application due to Medical Examination and Care. Everyone can  use these sample application formats with the reason of medical checkup of yourself, family member, parents, mother, father or any other close relation. You can modify these formats as per your need.

Leave Application due to Medical Examination and Care

To,
Mr. Principal,
All and Sundry System,
Texas, United State of America.

Subject: Requesting leave due to medical examination and care
by the teacher

Respected Sir,

It is to state with much care and respect that I am a teacher. I am fifty years old and a single parent as well. Due to extreme hard work, my backbone is paining and it is becoming difficult for me to even stand or sit properly as the bones at the lower part are dislocated, according to my guess. I cannot afford this health concern as my daughters are young and totally dependent on me. Kindly grant me the leave for three days so I can get medical examination and care.Thank you and looking forward for a kind action.

Yours Truly,
Ms.Sam,
20th November, 2018.

Sample Leave Application due to Medical
Examination and Care

To,

Mr. Manager,
All and Sundry System,
Texas, United State of America.

Subject: Requesting leave due to medical examination and care
by the employee

Respected Sir,

It is to state with much reverence that I am a branch manager and serving this banking system from the last two decades. I am getting old now and due to malnutrition, my stomach is upset and becomes loose after every three days. This situation is unbearable for me and I want a leave from my seat so that I can seek the medical examination and care at the earliest. Kindly grant me a week’s leave from my seat and I would be delighted on your kind concern.Thank you and looking forward for a generous and prompt action.

Yours Faithfully,

Mr. Jonn,

Leave Letter

Long Medical Leave Letter After Surgery

Leave a comment

Long  Medical Leave Letter After Surgery. This easy format is a helping aid for the ones who are pursuing medical leave of one month after surgery.

Long Medical Leave Letter After
Surgery

To,
The Principal,
Wildwoods Christian High school system,
California, United States of America.

Subject: Request of medical leave of one month after surgery

Respected Sir,

Greetings! It is my extreme good luck that I got to get the chance of you as my principal. It is not buttering at all as it is based on reality and these are the genuine words coming right from my heart. Sir, you knew me very well and the condition of mine through which I undergone the stressful days packed with will power and resilience. I had undergone a major heart surgery as my one valve of heart was not functioning properly and doctor suggested me to get it treated well on time, but I was so absorbed in my teaching career and the other duties bound on me that I could not spare time for apposite treatment and that result into operation.

Doctor suggested me to take one months’ medical leave as my heart is still not in the good working condition and needs ample rest which would not be possible in school. Kindly grant me the suggested leaves and you can go for counter check my reports and the whole process in the high command Medical board. For this, I am attaching my complete reports and medical certificate suggesting me to take months’ rest. I will be really grateful to you if you will grant me the leaves as soon as possible. Thank you for your good time and considerate attention.

Best Regards,

Mr. Smutch Martin,
25 th August, 2018.

leave application

Sample Application for Medical Leave

Leave a comment

Sample Application for Medical Leave

To
The Vice Principle
The Radiant Way School
SMT Campus, Lahore

Subject: Medical Leave by student

Honorable Sir,

With utmost respect, it is stated that I am suffering from severe asthmatic attack since last night. Dr has suggested me to get nebulizer after each 4 hours for consecutive 3 days. It is very difficult for me to come to school in this condition. I have bad throat and chest congestion as well. I need proper rest to recover because of this poor condition. I cannot come to school with this health. I need a leave till I get recovered completely.
Kindly grant me a medical leave for three days. I shall utterly be obliged. I am attaching my medical papers and doctors’ prescription with this application. Thanks for your consideration as I get well I will come back to school.

Yours Obediently,

Ahmad Shah
Class 9 th
Section Science Subject
Roll no 17
Date of leave: 2.03.17 to 4.02,17

Medical Leave Application by Parents

To
The Principle
Garison School
Boys Campus

Subject: Medical Leave by Parents

Respected Madam,

With best regards, it would like to inform you that my son Raza Ahmad is studying in your institute. He is very intelligent and hard working student. Yesterday when he came back from school to home suddenly he falls down from stairs during playing with some guest. He is seriously injured. He has got four stitches on his head. Doctor had prescribed him complete bed rest for at least 15 days. In this critical condition he cannot be able to come to school and join his classes.
Kindly grant him a leave for 15 days. I am sending you all real documents and discharge slip of hospital with this application. I shall be highly beholden.Thanks.

Yours Sincerely,

Mahmad Ali
Senior Vice President
Tanning Works and Machinery
Date 7.09.2018

leave application

One Month Medical Leave due to Mother’s Breast Cancer Operation

Leave a comment

Sample one month medical leave due to mother’s breast cancer operation/surgery. Cancer is the disease, which is itself is not a disease, but it is the deterioration of minor disease and is the extreme case. If care is not taken of the usual ailments and due attention is not paid to consistent pain, then it cause to cancer. Only two initial stages are curable! This format of letter will prove a good aid in this regard so feel at ease to use this sample.

One Month Medical Leave due to
Mother’s Breast Cancer Operation

To,
The Chairman,
Lucas Steel Mills Corporation limited,
Texas, United States of America.

Subject: Requesting one month medical leave due to mother’s breast cancer operation

Respected Signor,

Greetings! How are you? I hope you will be sailing in the titanic of wealth and health and I pray to Providence to give you the same in the future. Two years had elapsed in a tic of eye and we came in 2018 year! How times fled, I wonder! In the wake of this year, I had heard about the terrible disease of my mother! She was suffering from cancer! We had thought that it is just a pimple on her left armpit and tried to remove it by domestic treatments, but it had engulfed the entire side of my mother’s left breast! The lump was not moving and that was the clear sign of cancer, we rushed to hospital where doctor checked her and stated that her cancer is luckily on stage two! It was the sigh of relief for us, but it’s the cancer still! By tomorrow, she is going to admit for a chemotherapy and my presence with her is inevitable, so kindly grant me the leave of one month in this context. Thank you.

Yours Faithfully,

Mr. Jonathon wiz,
10 th May, 2018.

leave application

Request for Medical Leave due to Paralysis Treatment

Leave a comment

Sample letter format of requesting medical leave for paralysis treatment. Jobs always come with multi-dimensional responsibilities and duties, whether it be small in nature or large. This format can be used and mould to achieve ones need and avail medical leaves from the respective companies.

Request for Medical Leave due to ParalysisTreatment

To,
Mr. Manager,
Green Global International Airport,
California, United State of America.

Subject: Requesting medical leave for paralysis treatment

Respected Sir,

It is to state with much honour and respect that I need one month medical leave as my mother right side had suffered a mild paralysis attack and doctor advised me to get her treated on time otherwise this ailment can get severe with the time and age. I cannot take any risk on the score of my mother’s health. Kindly grant me the annual medical leaves in this connection.Thank you and looking forward for a kind action.

Yours Truly,

Mr. John Sawyer,
10th May, 2021.

Sample letter of Requesting Medical Leave for Treatment of Arm Paralysis

To,
Mr. Manager,
Green International Airport,
California, United State of America.

Subject: Requesting medical leave for treatment of arm paralysis

Respected Sir,

Greetings! IT is always good to see things in their perfection and for human beings they are excellent when healthy. It is to state with much respect that I am in dire need of leaves in the quota of medical leave. The reason behind my leaves is the treatment of my arm that had suffered from mild paralysis. Doctor advised me to get it treated well on time to avoid any untoward action in the future and it can cause me problem in my work capacity and health. Kindly grant me the said leaves. Thank you and looking forward for a kind action.

Yours Truly,

Mr. Arthur Racket,
10th May, 2021

Leave Application for Medical Checkup

[Your Name] [Your Position/Department] [Company/School Name] [Date]

[Supervisor’s Name] [Supervisor’s Position] [Company/School Name]

Dear [Supervisor’s Name],

I am writing to request a short leave of absence on [Date] for a medical checkup. I have scheduled this appointment to ensure my continued well-being, and I anticipate it will take approximately [mention duration, e.g., 2 hours].

I will ensure that my responsibilities are well-covered during my absence, and I will coordinate with [colleague’s name] to handle any urgent matters that may arise in my absence.

Thank you for your understanding, and I apologize for any inconvenience this may cause. I will promptly provide any necessary documentation from the medical facility upon my return.

Sincerely,

[Your Name]

Medical Leave for 2 months

[Your Name] [Your Employee/Student ID] [Date]

[Supervisor’s Name/Principal’s Name] [Supervisor’s Position] [Company/College Name]

Dear [Supervisor’s Name/Principal’s Name],

I am writing to request a medical leave of absence for a period of approximately two months, starting from [Start Date] to [End Date]. I have been advised by my healthcare provider that this extended leave is necessary to address and recover from a medical condition.

During my absence, I will ensure that my responsibilities are handled by [mention the colleague or substitute who will cover your duties]. I will also remain accessible by email for any critical matters that may require my attention.

I understand the importance of my role in the organization/school and will do my best to minimize any disruption during this period. I will provide all necessary medical documentation to support my leave request.

Thank you for your understanding and support during this time. I will keep you updated on my progress and intend to return to work/school on [Expected Return Date].

Sincerely,

[Your Name]