[Your letterhead, if desired; if not, your return address]
[Date of letter-month, day, and year]
[Recipient's first and last names]
[Company name]
[Street or P.O. box address]
[City, State ZIP code]
Dear [recipient's name]:
I am writing to you to respectfully request that I be excused from work for the next three weeks so that I can take a sick leave during this time. As you may know, I have been dealing with some serious health challenges and need some time to recover at home. After three weeks of recovery time, I should be able to fully return to all of my job responsibilities.
I would be happy to provide any required documentation or to ask my doctor to submit an excuse letter to you. Please let me know if you need any additional information in order to approve this request. Thank you for your time and for considering my request for an excused absence from work.
Sincerely,
[Signature]
[Sender's first and last names]
