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Medical Leave Request Letter PDF – Free Fillable Template

Create a polite, HR-ready medical leave request letter without legal jargon.

Published November 22, 2025

When you need time off for treatment or to support a family member, a clear written request keeps HR on your side. This free tool builds a professional medical leave request letter you can download, sign, and send.

When to use this

  • You need time off for surgery, treatment, or recovery and want a proper written request.
  • HR asked you to submit a formal medical leave request letter.
  • You’re supporting a family member and need to document your time away from work.

How to do it (fast)

  1. Open /tools/medical-leave-request-letter-pdf.
  2. Fill in your info, employer details, and HR contact if available.
  3. Select leave dates and reason, noting if it is intermittent.
  4. Add any extra details, then generate and download the PDF to sign and send.

Why this helps

  • Keeps the request clear and professional so HR can respond quickly.
  • Avoids emotional or confusing language while covering key dates and reasons.
  • Gives you a written record of what you asked for if disputes arise later.

Related tools

Not legal advice. Courts set their own rules. Keep your original records.