I really hope that this letter finds you in the best of health. This letter concerns my request for a maternity leave from __________ to __________ (mention your duration). I hope to be back in office by __________ (mention your date of rejoining). I have also attached the relevant medical application and other details required to avail this leave.
I would also like to converge my annual leave along with the maternity leave so that I can be with the baby after the delivery. All in all, I would be taking a three-month leave and will re-join immediately after that. I also request to give me the details of the hospital covered under the office insurance so that my medical expenses will be taken care of.
As I will be away for a very long time, I have entrusted my responsibilities to __________. He has kindly agreed to take over my chair for the period of ___________months. In the case of an emergency, please do contact me at _____________.
________________.(Name and Signature)