Sick leave extension request template

Sick Leave Extension Request

Date: Date

HR Manager

Dear Sir or Madam,

My sick leave began on Leave Start Date and ends on Leave End Date. I kindly request an extension of Extension Days days, to Extended End Date, based on medical report no. Medical Report Number issued by Healthcare Facility through the Sehaty platform.

I will keep you informed and return to work as soon as the leave ends.

Yours faithfully,

Employee Name: Employee Name

Employee Signature: Employee Signature