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Adoption Leave Application

An adoption leave application is made by an employee who is adopting a child, to take leave from the date the child is handed over. Adoptive mothers of young children have a maternity benefit entitlement under Indian law, and many companies extend adoption leave to all parents through policy.

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[Company Logo][Company Name]

APPLICATION FOR ADOPTION LEAVE

Date:: [Date]

To,
The HR Manager
[Company Name]
[Company Address]

Copy: [Reporting Manager]

Subject: Application for Adoption Leave

Dear [HR Name],

I am happy to share that I am adopting a child through [Adoption Agency / legal process]. The child's date of birth is [DD/MM/YYYY], and the handover is scheduled for [DD/MM/YYYY].

I request adoption leave from [DD/MM/YYYY] to [DD/MM/YYYY], a period of [Number] weeks, under [the maternity benefit provisions applicable to adoptive mothers / the company's adoption leave policy].

Particulars	Details
Child's date of birth	[DD/MM/YYYY]
Date of handover	[DD/MM/YYYY]
Adoption order / agency reference	[Reference Number]
Leave period	[DD/MM/YYYY] to [DD/MM/YYYY]
Additional leave requested	[Number] days of [Leave Type] / None

I will submit the adoption order or agency handover letter and any other document HR requires. I request that these details be kept confidential and shared only with those who need them to process my leave.

I would also like to add the child to my group medical insurance from the date of adoption. Please let me know the process.

My work will be handed over to [Colleague Name], and I will be available on [Mobile Number] for any urgent matter before the leave begins.

Thank you for your support.

Yours sincerely,

[Employee Name]
Employee ID: [Employee ID]
[Designation], [Department]

For HR Use

Documents verified	[ ] Yes
Leave sanctioned under	[ ] Maternity benefit (adoption) [ ] Company adoption policy
Period sanctioned	[DD/MM/YYYY] to [DD/MM/YYYY]

HR
[HR Name]
Date: [Date]

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What this template includes

Child's date of birth and date of handover
Adoption agency or court order reference
Leave start date linked to handover
Entitlement as per law and policy, verified with HR
Confidentiality of adoption details
Handover and return plan

When to use it

When the date of handover of the adopted child is confirmed
Adoptive mothers claiming maternity benefit for adoption
Adoptive fathers or other parents under a gender-neutral company policy
Commissioning mothers in surrogacy, where policy or law provides leave

How to customise this template

1Attach the adoption order or agency letter as required
2Check entitlement with HR, as it can depend on the child's age and your role
3Remove the maternity benefit line if you are an adoptive father applying under company policy
4Request confidentiality if you prefer the adoption not be widely shared

HR tips

Share only the documents HR needs; adoption records are sensitive
Ask HR about insurance cover for the child from the date of adoption
Handover dates can change at short notice; plan cover early
Employers should treat adoptive parents on par with birth parents wherever the policy allows

The Maternity Benefit Act, 1961, as amended, provides maternity benefit of up to 12 weeks to a woman who legally adopts a child below three months of age, from the date of handover; these provisions are now part of the Code on Social Security, 2020. Verify current entitlement with HR and the applicable rules.

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Frequently asked questions

Is adoption leave available in India?+

Yes. The maternity benefit law provides leave to women adopting a child below three months of age, and many private employers offer adoption leave to all parents under their own policies.

From when does adoption leave start?+

Adoption leave usually starts from the date the child is handed over to the adoptive parent. Mention this date in the application.

What documents are needed for adoption leave?+

Typically the adoption order or the letter from the authorised adoption agency and the child's birth certificate. Provide only what HR asks for.

All 50 leave management →

[Company Logo][Company Name]

LEAVE APPLICATION FORM

Company:: [Company Name]
Form No.:: [Reference Number]
Date of Application:: [Date]

Part A – Employee Details

Employee Name
Employee ID
Designation
Department
Reporting Manager
Work Location
Mobile Number

Part B – Leave Details

Type of Leave	[ ] Casual [ ] Sick [ ] Earned/Privilege [ ] Compensatory Off [ ] Leave Without Pay [ ] Other: [Specify]
From Date (DD/MM/YYYY)
To Date (DD/MM/YYYY)
Number of Working Days
Half Day	[ ] First Half [ ] Second Half [ ] Not Applicable
Reason for Leave
Address and Phone Number During Leave

Part C – Work Handover

Form · Word

Leave Application Form

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[Company Logo][Company Name]
CASUAL LEAVE APPLICATION
Date:
[Date]
To,
[Reporting Manager]
[Designation]
[Department]
[Company Name], [Work Location]
Subject: Application for Casual Leave on [DD/MM/YYYY] [to DD/MM/YYYY]
Dear Sir / Madam,
I request casual leave for [Number] day(s) on [DD/MM/YYYY] [to DD/MM/YYYY] to attend to [a personal matter / a family function / documentation work at a government office].
I have completed or handed over my pending work as follows:
Letter · Word
Casual Leave Application
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[Company Logo][Company Name]
SICK LEAVE APPLICATION
Date:
[Date]
To,
[Reporting Manager]
[Department]
[Company Name]
Subject: Application for Sick Leave from [DD/MM/YYYY] to [DD/MM/YYYY]
Dear [Reporting Manager],
I was unwell with [fever / viral infection / a medical condition] from [DD/MM/YYYY] and, on the advice of my doctor, was unable to attend office. I had informed you by [phone / message / email] on [DD/MM/YYYY] at [Time].
I request that my absence from [DD/MM/YYYY] to [DD/MM/YYYY], a total of [Number] working days, be treated as sick leave.
Letter · Word
Sick Leave Application
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[Company Logo][Company Name]
EARNED LEAVE APPLICATION
Date:
[Date]
To,
[Reporting Manager]
[Designation]
[Company Name]

Through: HR Department
Subject: Application for Earned Leave from [DD/MM/YYYY] to [DD/MM/YYYY]
Dear [Reporting Manager],
I wish to apply for earned leave of [Number] days from [DD/MM/YYYY] to [DD/MM/YYYY] for [a family vacation / a visit to my native place / personal commitments]. I request permission to [prefix / suffix] the holiday / weekly off on [DD/MM/YYYY] to this leave, as permitted under the leave policy.
Particulars Details
Earned leave balance as on date [Number] days
Leave applied [Number] days
Balance after leave [Number] days
Date of rejoining [DD/MM/YYYY]
Letter · Word
Earned Leave Application
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Particulars	Details
Earned leave balance as on date	[Number] days
Leave applied	[Number] days
Balance after leave	[Number] days
Date of rejoining	[DD/MM/YYYY]

[Company Logo][Company Name]

PRIVILEGE LEAVE APPLICATION FORM

Establishment:: [Company Name]
Unit / Plant:: [Work Location]
Application No.:: [Reference Number]
Date:: [Date]

A. Worker / Employee Details

Name	[Employee Name]
Token / Employee No.	[Employee ID]
Department / Section	[Department]
Designation / Grade	[Designation]
Shift	[ ] General [ ] A [ ] B [ ] C
Date of Joining	[Date of Joining]

B. Leave Applied

Period: From [DD/MM/YYYY] To [DD/MM/YYYY]
Number of days	[Number]
Holidays / weekly offs falling within the period	[Dates]
Purpose	[Purpose]
Address during leave	[Address]
Advance wages requested	[ ] Yes [ ] No

I request privilege leave for the above period. I will report for duty in my shift on [DD/MM/YYYY].

Form · Word

Privilege Leave Application

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[Company Logo][Company Name]
APPLICATION FOR PAID LEAVE
Date:
[Date]
To,
The HR Department
[Company Name]
[Company Address]

Copy: [Reporting Manager]
Subject: Request for Paid Leave from [DD/MM/YYYY] to [DD/MM/YYYY]
Dear Sir / Madam,
I request paid leave of [Number] working days from [DD/MM/YYYY] to [DD/MM/YYYY] for [personal reasons / travel / family commitments]. As per my latest leave statement, my available paid leave balance is [Number] days.
I request that this leave be processed with full pay for the month of [Month, Year]. In case my balance is found to be insufficient, please:
Letter · Word
Paid Leave Application
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[Company Logo][Company Name]
APPLICATION FOR LEAVE WITHOUT PAY
Date:
[Date]
To,
[Reporting Manager]
[Department], [Company Name]

Copy: HR Department
Subject: Request for Leave Without Pay from [DD/MM/YYYY] to [DD/MM/YYYY]
Dear [Reporting Manager],
I request leave without pay for [Number] days from [DD/MM/YYYY] to [DD/MM/YYYY]. I need this time because [brief reason, e.g. care of a family member / completion of a personal legal matter / relocation of my family].
I have checked my leave balances and confirm that my casual, sick and earned leave are [exhausted / not sufficient for this period]: CL [Number], SL [Number], EL [Number].
Letter · Word
Unpaid Leave Application
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[Company Logo][Company Name]
APPLICATION FOR MATERNITY LEAVE
Date:
[Date]
To,
The HR Manager
[Company Name]
[Company Address]

Copy: [Reporting Manager]
Subject: Application for Maternity Leave
Dear [HR Name],
I am pleased to inform you that I am expecting a child, and my expected date of delivery is [DD/MM/YYYY], as per the enclosed certificate from [Doctor Name / Hospital Name].
I request maternity leave from [DD/MM/YYYY] to [DD/MM/YYYY], a total of [Number] weeks, in accordance with the maternity benefit provisions applicable to me and the company policy. Of this, I propose to take [Number] weeks before the expected date of delivery and the balance after delivery.
Letter · Word
Maternity Leave Application
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Adoption Leave Application

Preview of the letter

Subject: Application for Adoption Leave

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How to customise this template

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Frequently asked questions

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