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Sick Leave Application with Medical Certificate: Check Samples and Format

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Sick Leave Application with Medical Certificate

Taking sick leave is sometimes unavoidable for both students and employees. Whether it is due to fever, flu, or any other health issue, informing your school, college, or workplace in the right way is very important. A sick leave application with a medical certificate not only explains your absence but also provides proof of your illness. In this blog, we share useful formats and ready-to-use samples of sick leave applications for students and employees. You will also learn the key points to include, such as mentioning the duration of leave, attaching the medical certificate, and keeping the tone polite and professional.

Format of Sick Leave Application with Medical Certificate

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Sick Leave Application with Medical Certificate: Sample 1

From:
Amit Sharma
Class 8, Roll No. 14
Sunrise Public School, Bhopal

Date: 18 August 2025

To,
The Principal
Sunrise Public School
Bhopal

Subject: Application for Sick Leave with Medical Certificate

Respected Sir,

I am writing to inform you that I am suffering from viral fever and severe weakness since 16th August. The doctor has checked my temperature, which was 102°F, and prescribed me medicines along with bed rest. As per the medical advice, I should not attend school for five days (18th to 22nd August 2025).

I have attached my medical certificate as proof of my illness. During this time, I will not be able to participate in any school activities or classes. I assure you that once I recover, I will copy the notes from my classmates and complete all pending homework.

I kindly request you to grant me leave for the above-mentioned period.

Yours sincerely,
Amit Sharma
(Attachment: Medical Certificate)

Sick Leave Application with Medical Certificate: Sample 2

From:
Riya Verma
Class 10, Roll No. 22
St. Joseph’s Convent School, Lucknow

Date: 18 August 2025

To,
The Principal
St. Joseph’s Convent School
Lucknow

Subject: Sick Leave Application with Medical Certificate

Respected Madam,

I am unable to attend school because I met with an accident on 17th August 2025 while riding my bicycle. I fell on the road and suffered a sprain and swelling in my right ankle. I was taken to the hospital where an X-ray was done. Thankfully, there is no fracture, but the doctor has strictly advised seven days of complete rest (18th to 24th August 2025) to avoid any strain.

I am enclosing my medical certificate along with the hospital slip for your reference. Since this is the revision time before our exams, I will make sure to study from home as much as possible and later catch up on whatever I miss in class.
I kindly request you to approve my sick leave.

Yours faithfully,
Riya Verma
(Attachment: Medical Certificate and Hospital Slip)

Sick Leave Application with Medical Certificate: Sample 3

Suresh Kumar
Class 6, Roll No. 10
Green Valley School, Jaipur

Date: 18 August 2025

To,
The Principal
Green Valley School
Jaipur

Subject: Request for Sick Leave with Medical Certificate

Respected Sir,

I am suffering from chickenpox, which started on 15th August 2025. As it is an infectious disease, my doctor has advised me to remain in isolation until I fully recover. The medical certificate suggests that I should take at least 10 days of rest (18th to 27th August 2025) and avoid attending school during this time.

I understand that regular attendance is important, but joining school in this condition may cause infection to my classmates. Hence, I am strictly following the doctor’s instructions. I will revise my lessons from my textbooks at home and once I return, I will request my teachers to help me with the portions I miss.
I kindly request you to grant me leave during the recovery period.

Yours obediently,
Suresh Kumar
(Attachment: Medical Certificate)

Things to keep in Mind while Writing a Sick Leave Application with a Medical Certificate 

While writing a sick leave application, keep in mind the following things to avoid any miscommunication: 

  1. Depending on the significance of your letter, don’t forget to include a range of details.
  2. Make sure to speak with your employer or principal to know whether the requested leave has been approved.
  3. Follow all necessary steps when submitting a sick leave application.
  4. Make sure you submit your sick leave application with a medical certificate that will assert your claim.
  5. Always remember to keep a copy of the application for future reference. 

FAQs

Q1. How do I request sick leave?

Ans- If you are a working professional and want to take a sick leave then you need to write a sick leave application addressed to your manager. The application should contain the dates you will be taking leave, details of your illness, and some personal details like your name and job designation.

Q2. How do I state the reason for sick leave?

Ans- Always be honest while mentioning the details and try to avoid any unnecessary details. Also if the illness is severe then send a sick leave application with a medical certificate.

How do I write a sick leave application?

Ans- While writing a sick leave application maintain a formal tone throughout the application, follow the format, and stick to the specificness of the details.

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