Free Bereavement Leave Request Plan Template

Bereavement Leave Request Plan


I. Employee Information

  • Name: [Your Name]

  • Position: Marketing Coordinator

  • Department: Marketing

  • Employee ID: 12345

  • Contact Information: [Your Email] / 222 555 7777

II. Details of the Request

  • Relationship to Deceased: Grandfather

  • Date of Passing: March 15, 2050

  • Requested Leave Dates:

    • Start Date: March 20, 2050

    • End Date: March 25, 2050

  • Reason for Leave:
    I am requesting leave to attend my grandfather's funeral services and to assist my family in managing his estate. He was a significant influence in my life, and my presence is needed to support my family during this difficult time.

III. Supporting Documentation

  • Documentation Provided:
    I have attached a copy of the obituary published in the local newspaper, along with details of the funeral service scheduled for March 22, 2050. If necessary, I can provide additional documentation, such as a death certificate or any other forms that may be required.

IV. Signature and Date

[Your Name]

Date: March 18, 2050


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