[l-Date]
To:
[r-Company]
From:
[s-Name]
[s-Address]
[s-Phone]
Dear [r-Company],
I am requesting a leave of absence
from [s-StartDate] to [s-RetDate]. My
physician has recommended that I refrain from working during this period due to
[s-Reason].
If additional information is
needed, please contact me at extension [s-Number] in the [s-DepartmentName].
Best regards,
[s-Name]
