Health issues can come without warning, and when they do, informing your workplace quickly and clearly is important. Whether you’re facing a sudden illness, need time for recovery, or have a scheduled appointment, a well written medical leave application for office ensures that your absence is documented and understood.
As someone who has written and reviewed countless leave applications, I know that a good medical leave application balances professionalism with a personal touch. It should briefly mention the reason for your leave, the number of days you’ll be away, and if needed, a note about handing over responsibilities.
In this post, I’ve put together 9+ medical leave application samples that cover a range of real life situations from one-day sick leave to extended medical treatment. These templates are easy to edit and work for both formal letters and quick emails.
Let’s go through the samples you can use without any hassle.
Sample Medical Leave Application for Office
Date: [Insert Date of Application]
To, The Manager,
[Bank Name],
[Branch Address]
Subject: Medical Leave Application for [Mention Reason]
Dear Sir/Madam,
I am writing to request a medical leave from [Start Date] to [End Date] due to [mention medical reason]. I have consulted with my physician and have been advised to take rest during this period. I have delegated my responsibilities to [Colleague’s Name] and briefed the team to ensure continuity of work.
Kindly consider my request and grant me medical leave for the mentioned dates.
Sincerely,
[Your Full Name]
[Employee ID / Department]
Medical Leave Application for Office in Hindi
तारीख: [आवेदन की तारीख डालें]
सेवा में,
प्रबंधक,
[कंपनी का नाम],
[पता]
विषय: चिकित्सीय अवकाश हेतु आवेदन
मान्यवर,
मैं [आपका नाम], [पदनाम], [तारीख से तारीख तक] चिकित्सीय कारणों से अवकाश लेना चाहता/चाहती हूँ। डॉक्टर की सलाह के अनुसार मुझे इस समय पूर्ण विश्राम की आवश्यकता है।
कृपया मेरे आवेदन को स्वीकार करें।
सादर,
[आपका नाम]
[कर्मचारी आईडी / विभाग]
Medical Leave Application for Office in Marathi
तारीख: [अर्जाची तारीख लिहा]
प्रति,
प्रबंधक,
[कंपनीचे नाव],
[पत्ता]
विषय: वैद्यकीय रजेबाबत अर्ज
मान्यवर,
मी [तुमचे नाव], [पदनाम] [रजेचा कालावधी] या कालावधीत वैद्यकीय कारणास्तव रजा घेऊ इच्छितो/इच्छिते. डॉक्टरांनी विश्रांती घेण्याचा सल्ला दिला आहे.
कृपया माझा रजेचा अर्ज मान्य करावा.
आपला विश्वासू,
[तुमचे पूर्ण नाव]
[कर्मचारी आयडी / विभाग]
Medical Leave Application for Office Due to Fever
Date: [Insert Date of Application]
To,
The HR Manager,
[Company Name],
[Office Address]
Subject: Medical Leave Application Due to Fever
Dear Sir/Madam,
I am experiencing high fever and body ache, and I am unable to attend the office today. I request you to grant me a one-day medical leave on [Date]. If my condition does not improve, I will keep you updated and submit a medical certificate as required.
Thank you for your consideration.
Sincerely,
[Your Name]
[Employee ID / Department]
Medical Leave Application for Office Due to Accident
Date: [Insert Date]
To,
The Manager,
[Company Name],
[Company Address]
Subject: Medical Leave Application Due to Accident
Dear Sir/Madam,
I met with an accident on [Date], and I am currently under medical care with limited mobility. As per the doctor’s recommendation, I need to take rest for [number of days] starting from [start date]. Kindly grant me medical leave during this period.
Thank you.
Sincerely,
[Your Name]
[Employee ID / Department]
Medical Leave Application for Office Mail
Subject: Medical Leave Request for [Mention Reason]
Dear [Manager’s Name],
I am feeling unwell and will not be able to attend office from [start date] to [end date]. I have consulted a doctor and have been advised rest. Please consider this email as my formal leave application. I will share the medical certificate if needed.
Regards,
[Your Name]
[Designation]
Medical Leave Application for Office in English
Date: [Insert Date]
To,
The HR Officer,
[Company Name],
[Company Address]
Subject: Application for Medical Leave
Dear Sir/Madam,
I am writing this application to inform you that I am suffering from [health issue] and have been advised to take medical rest for [duration]. Kindly approve my medical leave from [start date] to [end date].
Thank you for your support.
Sincerely,
[Your Full Name]
[Employee ID / Department]
Medical Leave Application for Office Format
A standard format makes the leave application consistent and professional:
Date: [Insert Date]
To,
[Manager’s Name / HR Officer]
[Designation]
[Company Name]
[Company Address]
Subject: [Medical Leave Application]
Respected Sir/Madam,
I am [Your Name], working as [Designation] in [Department]. Due to [medical reason], I am requesting leave from [start date] to [end date]. Kindly grant me leave for the said duration.
Thank you.
Sincerely,
[Your Name]
[Employee ID]
Medical Leave Application for Office in Bengali
তারিখ: [আবেদনের তারিখ]
প্রতি,
ম্যানেজার,
[কোম্পানির নাম],
[ঠিকানা]
বিষয়: চিকিৎসার কারণে ছুটির আবেদন
মান্যবর,
আমি [আপনার নাম], [পদবী], চিকিৎসাজনিত কারণে [ছুটির তারিখ] থেকে [শেষ তারিখ] পর্যন্ত ছুটি প্রার্থনা করছি। দয়া করে আমার আবেদনটি বিবেচনা করুন।
আপনার বিশ্বস্ত,
[আপনার নাম]
[কর্মচারী আইডি / বিভাগ]
Medical Leave Application for Office Mail Format
Subject: Request for Medical Leave from [Start Date] to [End Date]
Dear [Manager’s Name],
This is to inform you that I am not feeling well and will require a leave of absence due to health issues. Kindly consider this email as my official request for medical leave for the above-mentioned dates.
Sincerely,
[Your Name]
[Designation]
Structure and Tips for Writing a Medical Leave Application
Structure
- Date: Begin with the date of writing.
- To: Mention the manager’s or HR’s name and designation.
- Subject: Clearly state the purpose.
- Salutation: Use formal greetings like “Dear Sir/Madam.”
- Body Paragraphs:
- Reason for leave
- Duration and dates
- Mention work arrangement (if any)
- Closing: Thank the recipient.
- Sign-off: Sincerely/Regards + Your Name and ID
Tips
- ✅ Keep the tone polite and professional
- ✅ Mention exact dates to avoid confusion
- ✅ Avoid oversharing personal health details
- ✅ Ensure the application is brief yet informative
- ✅ Attach doctor’s note or certificate if required
- ✅ Double-check for grammar and clarity
FAQs
What should I include in a medical leave application?
Include the reason for leave, specific dates, and assurance of work continuity or handover if needed.
Can I email a medical leave application?
Yes, most organizations accept email applications. Ensure the email is formal and clearly states the reason and duration.
Is a medical certificate mandatory for office leave?
It depends on the company policy. For short leaves, it might not be required, but extended leaves often require documentation.
Can I write a medical leave application in my regional language?
Yes, if your organization permits, you can submit your leave application in Hindi, Marathi, Bengali, or other regional languages.
How early should I submit a medical leave application?
Submit it as soon as you’re aware of your need for leave. For emergencies, inform your manager promptly and submit formal documentation later.