My reason for resigning is stated below: (TO BE TYPED BY PERSONNEL CLERK). Effective Date of this Resignation. Signature. Date.Basic Resignation Letter Sample. This decision has not been easy, but due to ongoing health issues, I am no longer able to fulfill my duties in the capacity that both I and the company deserve. Discover how to craft a professional resignation letter due to illness. Dear Board Members: Please accept my resignation from the Miami-Dade County Public Schools for the following reason(s):. Family Medical Leave Act (FMLA) Request Form. It is still not out of committee in the Senate.