Late Return Authorization

Company Letterhead

{{company_name}}

{{company_address}}

Phone: {{phone}}

Email: {{email}}

Website: {{website}}

Date

{{date}}

Employee Details

Employee Name: {{employee_name}}

Employee ID: {{employee_id}}

Department: {{department}}

Position: {{position}}

Subject: Authorization for Late Return from Leave

Dear {{employee_name}},

Original Leave Details

This serves to acknowledge that you were granted an approved leave of absence from {{original_start_date}} to {{original_return_date}}.

Authorization of Late Return

Following your request dated {{request_date}}, we hereby authorize a late return from your approved leave. Your revised return-to-work date is now officially set as {{new_return_date}}.

Reason for Late Return (if applicable)

The authorized reason for this late return is: {{reason_for_late_return}}

Conditions and Consequences (if any)

Please be advised that this late return is authorized under the following conditions:

{{conditions_or_consequences}}

Acknowledgement

Please sign below to acknowledge your understanding and acceptance of the revised return date and any outlined conditions.

Signature Block

Sincerely,

___________________________

{{authorised_by_name}}

{{authorised_by_title}}

{{company_name}}

--------------------------------------------------

I, {{employee_name}}, acknowledge receipt and understanding of this Late Return Authorization.

___________________________

Employee Signature

{{acknowledgement_date}}