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Sample Absence Letter - Military Leave

By , About.com Guide

Review additional absence letter samples.

Sample Absence Letter - Military Leave

Your Name
Your Address
Your City, State, Zip Code
Your Phone Number

Date

Name
Title
Organization
Address
City, State, Zip Code

Dear Mr./Ms. Last Name:

I will perform active duty with the United States Navy beginning on September 1. My absence from work for this period of military service is protected by the Uniformed Services Employment and Reemployment Rights Act (USERRA), 38 United States Code, Sections 4301-33.

My last day at work before I begin military service will be August 1.

I do not wish to take paid leave during my absence and I do not want to maintain health insurance coverage during my absence.

I can be reached at the above address and phone number while I am on active duty. If you have any questions about the provisions of the Uniformed Services Employment and Reemployment Rights Act (USERRA) you can contact the United States Department of Labor at 1-866-4-USA-DOL (1-866-487-2365).

Sincerely,

Your Signature

Your Typed Name

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Please Note: This sample is provided for guidance only. The provided information, including samples and examples, is not guaranteed for accuracy or legality. Letters and other correspondence should be edited to fit your personal situation.

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