Leave Extension Request Letter Template for United States

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Key Requirements PROMPT example:

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."

Document background
The Leave Extension Request Letter is a crucial document used when an employee needs to extend their previously approved leave period. This formal communication is particularly relevant in the United States, where leave entitlements are governed by federal laws such as the Family and Medical Leave Act (FMLA) and the Americans with Disabilities Act (ADA), along with various state-specific regulations. The letter should be submitted before the current leave period expires and must include specific details about the original leave, the extension timeframe requested, and the reason for the extension. It may also reference or include supporting documentation, particularly for medical-related extensions. This document helps ensure compliance with legal requirements while maintaining clear communication between the employee and employer regarding extended absence arrangements.
Suggested Sections

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

Optional Sections

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

Suggested Schedules

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

Alex Denne

Head of Growth (Open Source Law) @ Genie AI | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Relevant Industries

Healthcare

Technology

Manufacturing

Education

Financial Services

Retail

Professional Services

Government

Non-profit

Construction

Transportation

Hospitality

Media and Entertainment

Energy

Relevant Teams

Human Resources

Benefits Administration

Employee Relations

Legal

Operations

Administrative Services

Compliance

Personnel Management

Relevant Roles

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

Industries
Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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