Parental Leave Letter Template

By | September 29, 2010

Marie Gabriel

Unit 65, John Doe Building

New York

21st September, 2009


Ms. Virginia Smith

Human Resources Department

Acme Ltd.

New York

Ref: Application for Parental Leave

Dear Ms. Smith,


Me and my husband are expecting a welcome addition to our family with the coming of our 3rd child sometime between October 10 to 21. As advised by my gynecologist, it is necessary for me to take a leave of absence and with this, I request your good office to please allow me to take a Parental leave from the period of October 1st up to the 7th of December 2009.

My request for 9 weeks of Parental Leave is necessary for me to take care of my newborn on his first few months of life.  I will be able to resume my responsibilities in the office on the 8th of December but in case of unforeseen medical event, I will be applying for a leave extension.

I will endorse all necessary documents to my supervisor to facilitate smooth transition.  I will also provide your office and my supervisor my contact details in case the need arises.

Attached with this letter are pertinent medical information and documents for your reference.  I am looking forward for a favorable response to my request.

Sincerely Yours,

Marie Gabriel

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