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Sick Leave Application

A sick leave application informs the manager that the employee is unwell and unable to work, and requests that the absence be recorded as sick leave. It is often submitted after the fact, with a medical certificate attached when the policy requires one.

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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.

[ ] Medical certificate attached
[ ] Medical certificate will be submitted by [Date]
[ ] Certificate not required under policy for this duration

[I have recovered and will report for duty on DD/MM/YYYY. / My doctor has advised rest until DD/MM/YYYY; I will update you if this changes.] During this period [Colleague Name] has kindly agreed to handle [Task]. I can be contacted on [Mobile Number] for anything urgent.

Thank you for your understanding.

Yours sincerely,

[Employee Name]
Employee ID: [Employee ID]
[Designation]

For HR Use

Sick leave balance before	[Number]
Days sanctioned as sick leave	[Number]
Days treated as other leave / LWP	[Number]
Certificate verified	[ ] Yes [ ] Not required

HR
[HR Name]
Date: [Date]

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What this template includes

Date of first absence and expected return
Simple description of illness without unnecessary detail
Note on medical certificate attached or to follow
Confirmation that the manager was informed on day one
Reachability, if well enough, for urgent questions
Office section for HR to record the sick leave

When to use it

Short illness such as fever, infection or food poisoning
Regularising absence after the employee informed the manager by phone
Leave that crosses the threshold where your policy requires a doctor's certificate
Following up an email or message sent on the first day of illness

How to customise this template

1Write the actual dates of absence, including any already passed
2Tick whether a medical certificate is attached
3If you are an ESI-covered employee, mention ESI certificates where relevant
4Remove the reachability line if you are advised complete rest

HR tips

Inform the manager as early as possible on the first day, even by phone or message
Keep the description general; detailed diagnosis is private
Submit the certificate within the time required by the policy
If illness extends, submit a leave extension request rather than staying silent

For HR & hiring managers

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Frequently asked questions

How do I write a sick leave application to my manager?+

State that you are unwell, give the dates of absence and expected return, mention any medical certificate and who is handling urgent work. Keep it short and polite.

Is a medical certificate necessary for sick leave?+

Many companies require one when sick leave exceeds a set number of days, stated in the leave policy as [Number] days. ESI-covered employees may need certificates from ESI dispensaries for ESI benefits.

Can sick leave be applied after returning to work?+

Yes. Sick leave is usually informed on the first day by phone or message and the formal application is submitted on rejoining.

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]
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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[Company Logo][Company Name]
PATERNITY LEAVE APPLICATION
Date:
[Date]
To,
[Reporting Manager]
[Department]
[Company Name]

Copy: HR Department
Subject: Application for Paternity Leave
Dear [Reporting Manager],
My wife / partner, [Spouse Name], is expecting our child, with the expected date of delivery on [DD/MM/YYYY] [/ delivered our child on DD/MM/YYYY]. I request paternity leave of [Number] days as provided under the company's paternity leave policy.
Leave requested: From [DD/MM/YYYY] To [DD/MM/YYYY]
[ ] Single block [ ] Split [Number] days from [DD/MM/YYYY] and [Number] days from [DD/MM/YYYY]
Additional earned leave requested [Number] days / None
Letter · Word
Paternity Leave Application
Download .docx

Leave requested: From [DD/MM/YYYY] To [DD/MM/YYYY]
[ ] Single block [ ] Split	[Number] days from [DD/MM/YYYY] and [Number] days from [DD/MM/YYYY]
Additional earned leave requested	[Number] days / None

Sick Leave Application

Preview of the letter

Subject: Application for Sick Leave from [DD/MM/YYYY] to [DD/MM/YYYY]

For HR Use

What this template includes

When to use it

How to customise this template

HR tips

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Frequently asked questions

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