Dear [Name of Recipient],
I would like to intimate you regarding the request for approval for the leave of absence due to [mention the reason for leave of absence] that is scheduled to start on [start date] and end on [end date]. I would like to let you know about some basic pre requisites of the leave of absence period. You need to contact [name of HR authority] regarding your medical coverage during that period. The other allowances will stand at hold during that period as per company rules and regulations.
In case you need to keep your medical coverage active, you will have to pay the premiums prior to the start date of your leave period. Regarding the other claims and benefits, please contact [name of HR authority] and your arrangements will be made. It is request to please check on the dues in your employee portal before the leave period which will avoid the rise of any discrepancy for that leave period.
Please fill out the appropriate forms before the leave period as per the organization policies. In case if you need any further assistance, you can contact me via phone at xxxx.
[Name of Sender]