How to ask for leave (say it or send it in writing)
A printable from Leave and Benefits Complete Guide. Fill it in by hand. Nothing you write is collected by this website.
How to ask for leave (say it or send it in writing)
"Hello __. I need to take time off from work starting //.
The reason is (choose one):
- my own health condition
- my pregnancy
- to bond with my new child
- to care for my family member, who has a serious health condition
- a death in my family
- an injury I got at work
I expect to return on about //______. I will give you a note from my health care provider if you need one.
I am asking for this leave under California law. Please tell me in writing whether my leave is approved, whether my job will be held, and whether my health insurance continues.
If I was hurt at work, please give me the workers' compensation claim form (DWC 1).
Thank you."
Keep a copy of what you sent and the date.
From Leave and Benefits Complete Guide. Facts checked October 21, 2026. Free information, not legal or medical advice.