Application for Leave Extension for Emergency Medical Treatment

Application for Leave Extension for Emergency Medical Treatment (Maternity Leave)

[Here briefly focus on sample application format for leave extension from office, job, school or any other working place due to Emergency Medical Treatment, like, Maternity Leave, Abdominal Problem, other serious sicknesses.  You can modify the sample as your requirement.]

Date…

The Principle,

Institute Name…

Institute Address…

Subject: Application for Maternity Leave Extension 

Sir,
With due respect, it is stated that I am (Name) working as a (Job designation) within your organization. It is to inform you that I want to avail the facility of maternity leave, given to female staff as per the policy of our organization. I would like to request an extension of two weeks until (Date) as it will give me sufficient time to settle some serious issues.

Kindly, make it possible and grant me leave for more two weeks dated (dd/mm/yy) to (dd/mm/yy). It would be a great favor for me. I shall be highly obliged.

Yours Truly,

Name….

Job Designation…

Contact no…

Email….

 

Another format,

Date…

The Principle,

Institute Name…

Institute Address…

Sub: Application for Leave Extension Due to Abdominal Problem

Respected sir,

With all due respect, it is stated that I have been diagnosed with a serious abdominal problem in the past week. I am instructed by the doctors to stay in bed, take complete bed rest and rely on medicines to make myself better. According to the doctors, I should be taking a complete one-month bed rest and consume medicines for three months. (Show your problems as doctor prescription).

My previous requested leave was from (dd-mm-yy to dd-mm-yy). I now request to please extend my leave for one more month making it to (dd-mm-yy to dd-mm-yy). Granted request shall be highly appreciated. Attached with the application are my medical reports.

Yours truly,

Name….

Job Designation…

Contact no…

Email….