Sick Leave Application - sample
Date: 14/11/2026
To,
The Manager - Human Resources, company name, city
Subject: Application for sick leave for 3 day(s) from 14/11/2026 to 14/11/2026
Respected Sir / Madam,
1. I am Ramesh Kumar Sharma, working as Senior Executive - HR in the Human Resources department (Employee ID: EMP-1024). I write to inform you that I am not keeping well and am suffering from viral fever.
2. I consulted Dr. R. K. Mathur, City Hospital, Jaipur and I have been advised complete rest for 3 day(s). In this condition I am not able to attend office or do my duties properly, and attending work may delay my recovery.
3. I therefore request you to kindly grant me sick leave for 3 day(s), from 14/11/2026 to 14/11/2026, both days included. As per my records, I have 6 days of sick leave to my credit. If the leave due to me is less than the days I need, please adjust the balance days against my other leave or treat them as leave without pay, as per the company policy.
Arrangement of work
4. I have briefed Ms. Neha Khatri about my pending work and urgent matters, shared the status of my tasks and the location of the files, and he / she has agreed to look after them during my absence, so that the work of the department is not affected.
5. I shall be reachable on 98XXXXXX10 for any matter that cannot wait, to the extent that my health permits.
Medical documents
6. I will submit the medical certificate / prescription and the fitness certificate (if required) when I resume duty. I also give my consent to the company to verify the medical documents if it wishes.
7. I shall rejoin on the working day after my leave ends, unless the doctor advises more rest, in which case I will inform you before the leave ends and send an application for the extension.
8. I understand that sick leave is meant for genuine illness, that the company may ask for medical proof if the leave is for more than two days, and that I should inform my manager as early as I can on the first day, which I have done through this application. I also understand that any public holiday or weekly off falling inside the leave period is counted as per the company's leave policy.
9. I request you to also inform the payroll team so that my attendance and leave balance are updated correctly for the month.
I shall be grateful if you will kindly approve my leave and I regret the inconvenience caused to you and to my colleagues.
Thanking you,
Yours sincerely,
Ramesh Kumar Sharma
Senior Executive - HR, Human Resources
Employee ID: EMP-1024
Recommended by (reporting manager): ____________________ Approved / Not approved: ____________________