Sick Leave Request Form

If you're feeling unwell and unable to work, please complete the form below as soon as possible to notify your manager and HR. This helps us stay informed, plan for coverage, and ensure your time off is recorded accurately.

Complete the form below to officially notify us of your sick leave.

Sick Leave Notification

REQUEST INFORMATION

Employee Name *

Email *

Manager *

SICK LEAVE DETAILS

First Day of Sick Leave *

Estimated Return Date

Total Days Requested *

Are you available to respond to urgent messages if needed? *

REASON FOR LEAVE

General Reason for Leave *

COVERAGE PLAN

Any urgent tasks to reassign? *

Message or note for your team

I confirm I am currently unwell and requesting the indicated sick leave.

Signature

Clear

Captcha