{Your Name}
{Your Address}
{Your Phone #}
{Date}
Dear {Mr./Ms. BossName}:
I would like to make a formal request to take an extended leave from my position as {position} here at {Company Name} on account of severe hardship.
As you may already know, as of {date} I have been struggling to accommodate the unforeseen impact of {disability, sick family member, death in the family, bankruptcy, illness, etc.}. I have taken all the paid leave I am able to take according to corporate policy, but if I don't continue to {description of action taken while on leave}, it will result in {consequence}.
I love working at this company, and I have always made every effort to be a model employee. I feel that the work I do here is good and important and I don't want to leave it. Instead, I am asking for extended leave until {date/further notice} so that I can {recover, care for a relative, etc.}. I can come in {part-time, a few days a week, etc.} to train a temporary replacement, but it is my hope to return to work as soon as I am able.
Please let me know if there is a way to work this out between us. Thank you for your time and your consideration in this matter.
Thank you,
{Sender Name}
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Index of Hardship Letter Examples