Application for Disability Certificate – Sample Application Requesting a Disability Certificate

To,
__________ (Recipient’s Name)
__________ (Designation)
__________ (Company/Organization Name)
__________ (Company Address)

Date: __/__/____ (Date)

Subject: Application for Disability Certificate

Dear __________ (Recipient’s Name),

I am writing to request the issuance of a disability certificate due to __________ (mention your disability). I have been suffering from this condition for __________ (mention duration of condition) and need this certificate for __________ (mention the purpose, e.g., medical benefits, job benefits, etc.).

I kindly request you to process my application for a disability certificate at your earliest convenience.

Please find the necessary documents attached, including medical reports and other required paperwork, as per the guidelines. If you need any additional information, feel free to contact me at __________ (Your Phone Number) or via email at __________ (Your Email Address).

I look forward to your favorable response.

Thank you for your attention to this matter.

Sincerely,

__________ (Your Name)
__________ (Your Contact Details)