The Human Resources Manager,
__________ (Company’s Name),
__________ (Company’s Address)

Date: __/__/____ (Date)

Subject: Request for home quarantine

Respected Sir/Madam,

I am ___________ (Name) and I work in ________ (Department) of your company. My employee ID is _________ (Employee ID).

I would beg to state that I am suffering from __________ (Disease/ Infection Name) which is deteriorating my health condition day by day. As per the consultation, the doctor advised for complete rest for _____ (Number – Days) days and I am prescribed to stay home quarantined for _________ (Number of days) days.

Respected, due to the health conditions I will not be able to focus on my work. I believe you would consider this as genuine and would accept my request to allow me to stay home quarantined for at least ______ (Number of days).

I shall be highly thankful and obliged for your kind support.

Thanking you,
___________ (Signature),
___________ (Name),
___________ (Employee ID)

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