Request Letter for Family Emergency Leave [FREE Sample]

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Learn how to write a request letter for family emergency leave. Use our sample request letter for family emergency leave as a template for your request letter.

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Family Emergency Leave Request Letter Sample

Your Name
Your Address
City, State, Zip Code

Watercolor painting woman typing on a sleek black laptop


Name of Employer or HR Manager
Name of Company
Address of Company
City, State, Zip Code

RE: Emergency Leave

Dear Name of Employer:

This letter is to inform you that I need to take emergency leave starting today. My daughter just called me to inform me that my wife collapsed in the grocery store and has been taken to Name of Hospital. 

I need to go to the hospital as soon as possible. I don’t as yet know if she is seriously ill, and will inform you as soon as I can.

I plan to return to work the day after tomorrow on DATE because I need a day to arrange for someone to come live in our home for a few days until my wife is discharged from the hospital. 

I have informed my colleagues of my situation and am assured that my work will not suffer during this time. I can be reached at Phone Number at any time if you have any questions or would like more information. I can also be reached at Email Address. 

Thank you for your consideration at this unsettling time. I look forward to receiving a positive response. 


Your Signature
Your Printed Name
Cc: direct supervisor

Frequently Asked Questions (FAQs)

1. What is Family Emergency Leave?

Answer: Family Emergency Leave is a type of leave granted to employees for reasons related to the immediate family, such as care for a sick family member, addressing certain family emergencies, or the birth or adoption of a child.

2. Who is eligible for Family Emergency Leave?

Answer: The eligibility for Family Emergency Leave may vary depending on the company’s policies and the jurisdiction, but typically it is available to full-time and part-time employees.

3. How much leave time is available for Family Emergency Leave?

Answer: The amount of leave time available for Family Emergency Leave also depends on the company’s policies and the jurisdiction, but it is usually a set number of days or a percentage of the employee’s total accrued time off.

4. Is Family Emergency Leave paid or unpaid?

Answer: The pay status of Family Emergency Leave can also vary depending on the company’s policies and the jurisdiction, but in many cases it is unpaid leave.

5. What happens to an employee’s job when they take Family Emergency Leave?

Answer: When an employee takes Family Emergency Leave, their job is typically protected and they have the right to return to their job when the leave ends.

6. What documentation is required for Family Emergency Leave?

Answer: Documentation requirements for Family Emergency Leave can vary depending on the company’s policies, but it may include a written request, proof of the need for leave, and certification from a healthcare provider if the leave is related to a medical issue.

7. Can Family Emergency Leave be taken as a part-time schedule?

Answer: Whether Family Emergency Leave can be taken on a part-time schedule depends on the company’s policies and the jurisdiction, but in some cases, it may be possible to take the leave on a reduced schedule.

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