Your First name/Last name

Address

Postal code/ CITY

Mobile phone

[Name of the company]

Address

Postal code/ City

Done in [your city], on [specify the date].

Subject: Leave request

I would like to inform you of my wish to take leave for the period from [date] to [date] inclusive, corresponding to a total of [total number of days] working days.

This request falls within the framework of the paid leave rights I have acquired for the reference year [reference year].

I thank you in advance for the attention given to my request and would appreciate being informed of your decision.

Remaining at your disposal, please accept, Madam, Sir, the expression of my best regards.

[Your signature]