Request Letter format for Medical Allowance

Sample Request Letter for Medical Allowance

[It is a sample Application for medical allowance to company or department. To get medical allowance as per company policy you need to submit medical bills of on panel hospitals, pharmacies, and doctors. You can modify these formats as your requirement.]


The Director,

Institute Name…

Institute Address…

Subject: Application for Medical Allowance

Respected Sir,

It is stated that I am (Name), working in your organization as a (Job designation), in (Department name) since last three/five years. I want you to permit me to draw your kind attention towards an issue of mine. The cause is, according to the policy of our organization medical allowance and fuel allowance are given to employees after their probationary period is over and they are directed towards the permanent job and their designation. As per my appointment letter, my medical allowance will be provided to me in case of serious emergencies.

I want to inform you that I have experienced a severe accident last week and have got a joint disorder. (show your actual problem). For about a month I will be on bed rest and won’t be able to move. I also have got serious injuries on the face. In this condition of mine, I am not able to join office until and unless I am perfectly alright as doctors have prescribed me the complete stress-free movement of my muscles, otherwise I might suffer from a dreadful disorder. This time I am really in bad health and nature of my job is to meet people and contact them in person. My presence in this type of situation will not impart a good impression.

My treatment is still going on, and all my medicines along with check-ups are from organization’s panel. I want you to kindly release the medical allowance so that these payments can be cleared up as soon as possible. As per the policy of the company, attached are the bills from hospital and laboratories where my testes were conducted. I assure you that I will join as soon as I will heal up. I shall be highly obliged for this favor of yours.

Thanking you I remain,


Job Designation…

Contact no…