Bereavement Leave Request Form

Victoria Jul 07, 2026

Losing a loved one is an incredibly difficult time, and it's important to take the space you need to grieve and heal. Many companies offer bereavement leave to support their employees during these challenging periods. If you're planning to take time off work due to a death in the family, you'll likely need to fill out a bereavement leave request form. Here's a comprehensive guide to help you understand and complete this form.

Printable Leave Request Form in Word
Printable Leave Request Form in Word

Before we dive into the details, it's crucial to familiarize yourself with your company's bereavement leave policy. This policy outlines the duration of leave, eligibility requirements, and the process for requesting time off. Typically, companies offer a few days to a week of paid leave, but policies can vary significantly. If you're unsure about your company's policy, reach out to your HR department for clarification.

Bereavement Leave Policy Template | Employee Leave Policy | HR Policy Template | Editable DOCX & PDF
Bereavement Leave Policy Template | Employee Leave Policy | HR Policy Template | Editable DOCX & PDF

Understanding Bereavement Leave

Bereavement leave, also known as funeral leave or compassionate leave, is a type of paid time off work that employees can use when they experience the death of a loved one. This time off allows employees to attend funerals, make arrangements, and take care of personal matters related to the loss. It also provides space for employees to grieve and begin the healing process.

Leave
Leave

While many companies offer bereavement leave, the specific policies can vary greatly. Some companies may only offer a few days, while others may provide up to a week or more. Some companies may require employees to use their vacation time or sick leave for bereavement, while others may offer a separate bereavement leave policy. It's essential to understand your company's specific policy to ensure you're following the correct procedures when requesting time off.

Eligible Relationships for Bereavement Leave

Sample Memorial Donation Letter, Excuse Letter For Work Absence, Excuse Letter For Leaving School Early, Formal Condolence Letter Template, Grievance Letter Sample, Grievance Letter Format, Bereavement Letter For Work, Excuse Letter, Grievance Letter
Sample Memorial Donation Letter, Excuse Letter For Work Absence, Excuse Letter For Leaving School Early, Formal Condolence Letter Template, Grievance Letter Sample, Grievance Letter Format, Bereavement Letter For Work, Excuse Letter, Grievance Letter

Bereavement leave is typically granted for the death of an immediate family member, such as a spouse, child, parent, or sibling. However, the definition of immediate family can vary by company. Some companies may also extend bereavement leave to extended family members, such as grandparents, aunts, uncles, or in-laws. In some cases, companies may also allow employees to take time off for the death of a close friend or domestic partner.

It's essential to review your company's bereavement leave policy to determine which relationships are eligible for time off. If you're unsure about whether a specific relationship qualifies, consult with your HR department for guidance. Some companies may require documentation, such as a death certificate or obituary, to verify the relationship and the death.

Duration of Bereavement Leave

Bereavement Leave Letter Template, Bereavement Leave Letter, Bereavement Leave Template, Bereavement Leave, Word Template, Simple Letter
Bereavement Leave Letter Template, Bereavement Leave Letter, Bereavement Leave Template, Bereavement Leave, Word Template, Simple Letter

The duration of bereavement leave can vary significantly depending on your company's policy. Some companies may offer a fixed number of days, such as three to five days, while others may provide a more flexible period, such as up to a week or two. In some cases, companies may offer additional time off if the employee needs to travel a significant distance to attend the funeral or if there are extenuating circumstances.

It's essential to review your company's bereavement leave policy to understand the duration of time off you're eligible for. If you need more time than what's offered, you may need to request additional time off using vacation time or sick leave, or discuss your situation with your manager or HR department.

Filling Out the Bereavement Leave Request Form

a notice to leave from someone
a notice to leave from someone

Once you understand your company's bereavement leave policy, it's time to fill out the bereavement leave request form. This form typically asks for information about the deceased, the reason for your leave, and the dates you plan to take off work. Here's a step-by-step guide to help you complete the form:

1. **Personal Information**: Start by filling out your personal information, such as your name, employee ID, and contact details. This information is typically required to ensure your request is processed correctly.

TIME OFF REQUEST - Pto Request Form - Vacation, Jury Duty, Maternity Leave, Bereavement Medical Leave - Personnel File - Template - Timeoff - Etsy
TIME OFF REQUEST - Pto Request Form - Vacation, Jury Duty, Maternity Leave, Bereavement Medical Leave - Personnel File - Template - Timeoff - Etsy
Holiday Leave Application Form Template
Holiday Leave Application Form Template
Time Off Request Form | PTO Request Template | Employee Leave Request | Vacation Request Form | Editable Word | Instant Download
Time Off Request Form | PTO Request Template | Employee Leave Request | Vacation Request Form | Editable Word | Instant Download
Create documents, presentations and designs with AI | Microsoft 365 Copilot
Create documents, presentations and designs with AI | Microsoft 365 Copilot
Time Off Request Forms - Word Excel Fomats
Time Off Request Forms - Word Excel Fomats
Funeral Leave Request Email - - Leave Email to Attend Funeral
Funeral Leave Request Email - - Leave Email to Attend Funeral
28+ Leave Letter Samples and Formats
28+ Leave Letter Samples and Formats
Absence Request Form Template Editable and Printable | HR Professionals Templates | Human Resource | Employee Time-Off and Attendance
Absence Request Form Template Editable and Printable | HR Professionals Templates | Human Resource | Employee Time-Off and Attendance
Request for Leave Form | Employee Vacation, Sick, Personal & Unpaid Leave Application Template
Request for Leave Form | Employee Vacation, Sick, Personal & Unpaid Leave Application Template
Personal Leave Request Form template | Templates at allbusinesstemplates.com
Personal Leave Request Form template | Templates at allbusinesstemplates.com
Leave Request Form Template, Printable Fill-In PDF
Leave Request Form Template, Printable Fill-In PDF
freeleave of absence request form template
freeleave of absence request form template
Holiday Leave Request Form
Holiday Leave Request Form
Employee Time-Off Request Form Template (Word, Editable, Printable)
Employee Time-Off Request Form Template (Word, Editable, Printable)
Documents You’ll Need After A Death UK | Bereavement Checklist
Documents You’ll Need After A Death UK | Bereavement Checklist
Free Blank Vacation Request Form in PDF
Free Blank Vacation Request Form in PDF
Leave Request Form Template
Leave Request Form Template
Leave of absence letter sample | Templates at allbusinesstemplates.com
Leave of absence letter sample | Templates at allbusinesstemplates.com
an employee hand book with the words department bereaved parent
an employee hand book with the words department bereaved parent
Leave of Absence Form in PDF Format
Leave of Absence Form in PDF Format

Information about the Deceased

Next, the form will ask for information about the deceased. This may include their full name, relationship to you, and the date of their passing. Some forms may also ask for the deceased's age and the cause of death, although these details are not always required.

If you're taking time off to attend a funeral, the form may also ask for the date, time, and location of the service. This information can help your employer understand the specific dates you need to take off work. If the funeral arrangements have not been finalized, you can typically provide this information at a later date or estimate the dates you'll need off.

Reason for Leave and Duration

The form will also ask for the reason for your leave and the duration of time you plan to take off work. When filling out this section, be sure to specify that you're taking bereavement leave due to the death of a loved one. You may also need to indicate the number of days you plan to take off work, as well as the start and end dates of your leave.

If your company offers flexible bereavement leave, you may have the option to take your time off in blocks or spread it out over a more extended period. Be sure to review your company's policy to understand your options and discuss any flexible arrangements with your manager or HR department.

Contact Information and Emergency Contacts

Finally, the form may ask for contact information and emergency contact details. This information can help your employer reach you if necessary during your leave. It's essential to provide up-to-date contact information and the names and phone numbers of individuals who can be reached in case of an emergency.

If you prefer not to provide emergency contact information, you can typically leave this section blank. However, providing this information can help ensure that you're easily reachable if any urgent matters arise during your leave.

Filling out a bereavement leave request form can feel overwhelming, especially during an emotional time. Take your time to ensure all the information is accurate and complete. If you have any questions or concerns about the form or your company's bereavement leave policy, don't hesitate to reach out to your HR department for guidance.

Remember, taking time off to grieve and heal is essential for your well-being. Filling out a bereavement leave request form is the first step in ensuring you have the support you need during this challenging time. After submitting your form, focus on taking care of yourself and your loved ones, and don't hesitate to reach out to your employer or HR department if you need additional support or accommodations.