Subject: Request for Extension on Leave of Absence — Minnesota [Your Name, Employee ID, and Company Name] Dear [Supervisor/Manager/HR Representative], I hope this letter finds you well. I am writing to formally request an extension on my previously approved leave of absence. Due to unforeseen circumstances, I require additional time off from work in order to fully recover and address personal matters. State-specific details: As an employee based in Minnesota, I understand the significance of complying with the state's regulations regarding leave of absence policies. Under Minnesota law, both employees and employers are protected by the Minnesota Parental Leave Act (MPA) and the federal Family and Medical Leave Act (FMLA). These laws provide eligible employees with the right to take up to 12 weeks of unpaid leave during a twelve-month period for various reasons, such as personal illness, the care of a family member, or the birth/adoption of a child, without fear of retaliation or job loss. Please find my request for an extension of leave, along with relevant details, outlined below: 1. Reason for the Extension: Provide a concise and genuine explanation for the need to extend your leave of absence. Clearly state the circumstances and how they impact your ability to return to work as scheduled. Be sure to emphasize any medical condition or personal situation requiring additional recovery time or attention. 2. New Expected Return Date: Specify the revised date you expect to return to work. Provide an estimated timeframe to help your supervisor or HR department determine the potential impact on work schedules and ongoing projects. 3. Supporting Documentation: If available, attach any supporting documentation relevant to your extension request. This may include medical certificates, letters from medical professionals, or legal documents supporting your particular situation. 4. Assistance Coverage Plan: Propose a plan for managing your workload during your continued absence. Suggest how you can assist in handing over your responsibilities to a colleague or how you can support remotely during this extended period, if applicable. This will demonstrate your commitment to minimizing the impact of your absence on the team. 5. Contact Information: Ensure that your contact information, including phone number and email address, is provided in order to maintain open lines of communication. This will enable your employer to reach out with any questions or concerns regarding your request. I understand the potential inconvenience caused by this extension and apologize for any disruption it may cause to the team or company's operations. However, I believe that taking this additional leave is vital for my personal well-being and ability to perform effectively upon my return. I would be happy to discuss my request further or provide any additional information required to evaluate my situation. I appreciate your understanding and support during this time. Thank you for your prompt attention to my request. I am looking forward to a positive response. Sincerely, [Your Name] [Employee ID] [Company Name]
Para su conveniencia, debajo del texto en español le brindamos la versión completa de este formulario en inglés. For your convenience, the complete English version of this form is attached below the Spanish version.