New York Sample Letter for Request for Extension on Leave of Absence

• Category: Letters - Nonlegal - Requests
• State: Multi-State
• Control #: US-0151LR
• Format: Word; Rich Text

Description

This form is a sample letter in Word format covering the subject matter of the title of the form. [Your Name] [Your Address] [City, State, ZIP Code] [Email Address] [Phone Number] [Date] [Recipient's Name] [Recipient's Designation] [Name of Company/Organization] [Company/Organization Address] [City, State, ZIP Code] Subject: Request for Extension on Leave of Absence Dear [Recipient's Name], I hope this letter finds you well. I am writing to formally request an extension on my leave of absence from my position at [Company/Organization Name] in [City, State]. Due to unforeseen circumstances, I am unable to return to work by the originally agreed upon date. In accordance with the Family and Medical Leave Act (FMLA) and the policies of [Company/Organization Name], I had initially requested a leave of absence starting from [Date of Leave Start] until [Date of Leave End]. However, I regret to inform you that my condition has exacerbated, and I require additional time to recuperate fully. The purpose of my leave of absence is [mention the reason for the original leave — medical treatment, family responsibilities, or personal circumstances]. Unfortunately, my condition has not improved as expected, and my healthcare provider has advised that I extend my leave for an additional period of [number of weeks/months] to ensure a complete recovery. I understand the importance of my role at [Company/Organization Name] and the impact my absence has on the team and operations. I assure you that I will do everything possible to minimize the disruption caused by my extended absence. In this regard, I have proactively taken the following steps to mitigate any adverse effects: 1. Communicated with my colleagues and team members, ensuring that they have access to all necessary information and resources to continue functioning smoothly during my absence. 2. Designated a reliable counterpart to handle any urgent matters that may arise during my extended leave. 3. Provided detailed documentation of my current projects, tasks, and ongoing responsibilities, along with instructions on how to proceed during my absence. I understand that my prolonged leave may pose certain challenges to the organization, and I sincerely apologize for any inconvenience caused. However, I firmly believe that taking the necessary time off to focus on my health will ultimately enable me to return to work in a more productive and committed manner. I kindly request that you review my situation and grant me an extension on my leave until [proposed new date of return]. At that time, I will reassess my condition and provide a definite plan for my return to work. I am open to discussing any potential arrangements, such as a phased return or telecommuting, to facilitate a smooth transition back into the workplace. Please find attached any supporting medical documentation for your review, including a letter from my healthcare provider detailing the necessity of the extension. I remain committed to providing regular updates and maintaining communication during my extended leave period. Thank you for your understanding and consideration. I am grateful for the support and flexibility [Company/Organization Name] has shown thus far, and I hope for a favorable response to my request. If there is any additional information required, or if you would like to discuss this matter further, please do not hesitate to contact me via email or at the phone number provided above. Again, I appreciate your time and understanding and look forward to a positive resolution. I am eager to return to work as soon as I am able to do so responsibly and effectively. Thank you. Sincerely, [Your Name]

[Your Name] [Your Address] [City, State, ZIP Code] [Email Address] [Phone Number] [Date] [Recipient's Name] [Recipient's Designation] [Name of Company/Organization] [Company/Organization Address] [City, State, ZIP Code] Subject: Request for Extension on Leave of Absence Dear [Recipient's Name], I hope this letter finds you well. I am writing to formally request an extension on my leave of absence from my position at [Company/Organization Name] in [City, State]. Due to unforeseen circumstances, I am unable to return to work by the originally agreed upon date. In accordance with the Family and Medical Leave Act (FMLA) and the policies of [Company/Organization Name], I had initially requested a leave of absence starting from [Date of Leave Start] until [Date of Leave End]. However, I regret to inform you that my condition has exacerbated, and I require additional time to recuperate fully. The purpose of my leave of absence is [mention the reason for the original leave — medical treatment, family responsibilities, or personal circumstances]. Unfortunately, my condition has not improved as expected, and my healthcare provider has advised that I extend my leave for an additional period of [number of weeks/months] to ensure a complete recovery. I understand the importance of my role at [Company/Organization Name] and the impact my absence has on the team and operations. I assure you that I will do everything possible to minimize the disruption caused by my extended absence. In this regard, I have proactively taken the following steps to mitigate any adverse effects: 1. Communicated with my colleagues and team members, ensuring that they have access to all necessary information and resources to continue functioning smoothly during my absence. 2. Designated a reliable counterpart to handle any urgent matters that may arise during my extended leave. 3. Provided detailed documentation of my current projects, tasks, and ongoing responsibilities, along with instructions on how to proceed during my absence. I understand that my prolonged leave may pose certain challenges to the organization, and I sincerely apologize for any inconvenience caused. However, I firmly believe that taking the necessary time off to focus on my health will ultimately enable me to return to work in a more productive and committed manner. I kindly request that you review my situation and grant me an extension on my leave until [proposed new date of return]. At that time, I will reassess my condition and provide a definite plan for my return to work. I am open to discussing any potential arrangements, such as a phased return or telecommuting, to facilitate a smooth transition back into the workplace. Please find attached any supporting medical documentation for your review, including a letter from my healthcare provider detailing the necessity of the extension. I remain committed to providing regular updates and maintaining communication during my extended leave period. Thank you for your understanding and consideration. I am grateful for the support and flexibility [Company/Organization Name] has shown thus far, and I hope for a favorable response to my request. If there is any additional information required, or if you would like to discuss this matter further, please do not hesitate to contact me via email or at the phone number provided above. Again, I appreciate your time and understanding and look forward to a positive resolution. I am eager to return to work as soon as I am able to do so responsibly and effectively. Thank you. Sincerely, [Your Name]