Work From Home Request - sample
Date: 13/11/2026
To,
The Manager - Human Resources, company name, city
Subject: Request for permission to work from home from 13/11/2026 to 13/11/2026
Dear Sir / Madam,
1. I am Ramesh Kumar Sharma, working as Senior Executive - HR in the Human Resources department (Employee ID: EMP-1024). I request your permission to work from home from 13/11/2026 to 13/11/2026 because of a family member's medical treatment.
2. My work can be done remotely for this period without any loss of quality, and I believe that working from home will allow me to look after the matter above without taking leave and without affecting my output.
My working arrangement
3. Place of work: residence at 12, Gandhi Nagar, Jaipur.
4. Working hours: I will be available during the normal office hours, 9, with the usual breaks, and I will log in and log out as I would at the office. I will attend all scheduled meetings, calls and stand-ups on video.
5. Equipment and connectivity: I will work with company laptop, VPN and a 100 Mbps broadband connection with a mobile hotspot as a back-up. I will tell my manager at once if there is any technical issue, and I will come to office if a task needs it.
6. Work I will complete during this period:
- Monthly payroll input checks
- Reply to employee queries within the day
- Update the recruitment tracker
7. Availability: I will be reachable on 98XXXXXX10, on the official e-mail and on the company's messaging tool, and will reply to urgent messages promptly. I will send a short status update to my reporting manager at the end of each day.
Security and policy
8. I will follow the company's information-security, data-privacy and work-from-home policies: I will use only the company-approved devices and secure connections, will not keep the company's data on a personal device, will lock my screen, and will make sure that no confidential information is seen or heard by anyone else.
9. I understand that this permission is temporary, that it may be withdrawn if the work or the business needs me at office, and that it does not change my terms of employment or create a right to work from home on any other day.
10. If my work, or my connectivity, is found to be affected in any way during these days, I will report to the office the next working day or take leave for the affected days, as my manager directs. I will also stay available for any physical work, document signing or meeting that cannot be done remotely, and I will handle such work on the days I attend the office.
11. The details given in this request are correct, and I shall inform my manager and HR immediately if there is any change in the circumstances mentioned above.
I shall be grateful if you would approve my request. I thank you for your consideration.
Regards,
Ramesh Kumar Sharma
Senior Executive - HR, Human Resources
Employee ID: EMP-1024
Recommended by (reporting manager): ____________________ Approved / Not approved: ____________________