Your City, State, Zip Code
Your Phone Number
City, State, Zip Code
Dear Mr./Ms. Last Name:
I would like to request a (how many days or weeks here, example thirty day)
leave of absence for (personal reasons, death of a family member, etc.). If
possible, I would like to leave work on (Dates here - July 1 and return on
If approved, I will be traveling during this period, but I would be glad to
assist with any questions via email, phone or face to face.
Thank you very much for your consideration.
Your Typed Name
I also don't think you should worry about it. Just describe the situation, I'm sure your boss will step in and give you a little vacation. When my mother died, I also asked for a few days off. I needed time to at least choose urns for ashes, so of course I was given a little vacation to work through all these not-so-pleasant things.