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Leave Extension Request Letter
"I need a Leave Extension Request Letter for extending my current medical leave by three months starting March 15, 2025, including references to FMLA compliance and accommodation requirements under ADA, as I'm recovering from surgery."
1. Sender's Information: Full name, employee ID (if applicable), position, department, and contact details of the person requesting the leave extension
2. Date and Recipient Details: Current date and complete details of the recipient (supervisor/HR manager name, title, department, company name and address)
3. Subject Line: Clear indication that this is a leave extension request
4. Current Leave Reference: Details of the current approved leave period and its purpose
5. Extension Request Details: Specific dates for the requested extension period and reason for needing additional time
6. Impact Management: Brief explanation of how your responsibilities will be handled during the extended absence
7. Closing: Professional closing statement, signature, and typed name
1. Medical Documentation Reference: Include when the leave extension is health-related and supporting medical documentation is being attached
2. Accommodation Request: Include when requesting specific accommodations under ADA or similar regulations
3. Return-to-Work Plan: Include when proposing a specific plan for returning to work, especially if requesting a gradual return
4. Previous Communications Reference: Include when referencing prior discussions or correspondence about the possibility of an extension
1. Medical Documentation: Copies of relevant medical certificates or doctor's notes supporting the extension request
2. Work Handover Document: Detailed plan of current projects and responsibilities with status updates and handover instructions
3. Return-to-Work Schedule: If applicable, detailed schedule for phased return to work including dates and work percentages
Authors
Extension Period
FMLA Leave
ADA Accommodation
Medical Certification
Return-to-Work Date
Serious Health Condition
Leave Entitlement
Qualifying Reason
Supporting Documentation
Work Duties
Reasonable Accommodation
Regular Work Schedule
Modified Work Schedule
Leave Benefits
Company Policy
Paid Time Off
Unpaid Leave
Essential Job Functions
Temporary Disability
Healthcare
Technology
Manufacturing
Education
Financial Services
Retail
Professional Services
Government
Non-profit
Construction
Transportation
Hospitality
Media and Entertainment
Energy
Human Resources
Benefits Administration
Employee Relations
Legal
Operations
Administrative Services
Compliance
Personnel Management
Employee
Manager
Supervisor
HR Manager
Benefits Administrator
Department Director
Team Lead
Project Manager
HR Business Partner
Leave Coordinator
HR Director
Chief Human Resources Officer
Operations Manager
Administrative Assistant
Executive Assistant
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