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PERSONAL MEDICAL LEAVE REQUEST FORM (non FMLA) I request to be placed on a P e r s o n a l M e d i c a l leave of absence. Due to F M L A r e q ui r em e nt s I am c u r r e nt l y not eligible based.

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When requesting a formal leave of absence, your letter should include the following: Request for a leave of absence. The dates you expect to be away from work. The date you plan to return to work. An offer to provide assistance, if feasible. Thanks for considering your request.

Use these steps to ask your employer for a leave of absence: Check company policies. Before requesting a leave of absence, check your company's policies by looking at your employee handbook or contacting an HR representative. ... Speak to your supervisor. ... Put your request in writing. ... Give advance notice. ... Offer to help.

Dear [Employee name]: On [date], you notified us of your need to take a leave of absence beginning on [beginning date] until [ending date] due to: The birth of a child, or the placement of a child with you for adoption or foster care.

Many common types of extended leaves of absence fall under the Family and Medical Leave Act, or FMLA. The FMLA is a federal labor law that guarantees up to 12 weeks of unpaid leave during the year to take care of a health condition that you or an immediate family member is facing, or to bond with a new child.

I am writing to you to let you know that I have an important personal matter to attend at my hometown due to which I will not be able to come to the office from {start date} to {end date}. I have discussed and delegated my tasks to {person's name} & have instructed them to call me for any help during my absence.

A personal leave of absence is an absence from work taken for personal reasons not otherwise covered by the FMLA or other protected leave policies. Personal leaves of absence are unpaid and are not job-protected.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232