Loss of wages letter template

loss of wages letter template

How to Structure Your Letter

A loss of wages letter should be clear and direct. Start by stating your reason for writing–loss of wages due to illness, injury, or any other personal circumstance. Be precise about the period during which you missed work. Avoid lengthy explanations; focus on the facts.

Include Key Details

loss of wages letter template

Your letter should provide the following details:

  • Full Name – Make sure your name is at the top of the letter for easy identification.
  • Job Title – Mention your position and department, if applicable.
  • Dates of Absence – Specify the exact dates you were unable to work.
  • Amount of Lost Wages – Indicate the total amount of wages you lost. If possible, break it down by days or hours.
  • Medical Documentation – If applicable, attach supporting documentation, such as a doctor’s note, to confirm the reason for your absence.

Sample Letter Template

Here is a sample structure for your loss of wages letter:

[Your Name]
[Your Address]
[City, State, ZIP Code]
[Email Address]
[Phone Number]
[Date]
[Recipient's Name]
[Recipient's Title]
[Company Name]
[Company Address]
[City, State, ZIP Code]
Dear [Recipient's Name],
I am writing to formally notify you of the wages I have lost due to my inability to work from [start date] to [end date]. During this period, I was unable to attend work due to [reason for absence]. As a result, I have lost a total of [amount lost]. I have attached [any relevant documentation, such as medical certificates] for your reference.
Please let me know if you need any further information. I look forward to your response.
Sincerely,
[Your Name]

What to Avoid

loss of wages letter template

Keep your letter brief and avoid adding unnecessary details. Don’t use language that could sound defensive or overly emotional. Stick to the facts and remain professional throughout the letter.

Loss of Wages Letter Template: Practical Guide
How to Start Your Wages Loss Letter
Key Information to Include in a Letter of Lost Wages
How to Calculate the Amount of Income Lost
Proper Tone and Language for a Letter Regarding Lost Wages
When to Send the Wages Loss Letter
How to Follow Up After Sending the Wages Loss Letter

Begin your wages loss letter with a clear statement of the situation. Address the recipient politely and directly. Start with a brief introduction outlining the reason for your letter and the time period in which the wage loss occurred. For instance, “I am writing to inform you of the wages I have lost due to my illness from [start date] to [end date].”

Key Information to Include in a Letter of Lost Wages

Your letter must provide the following details:

  • Your full name
  • Your job title and department
  • The dates you were unable to work
  • Your regular hourly wage or salary
  • Total amount of wages lost

How to Calculate the Amount of Income Lost

loss of wages letter template

To calculate your lost wages, multiply your hourly wage by the number of hours you missed. If you have a salaried position, divide your annual salary by the number of workdays in a year (typically 260) and multiply that by the number of days you were unable to work. Make sure the numbers are precise to avoid confusion.

Use a simple breakdown like this: “I usually work 40 hours per week at $15 per hour. Due to my absence from work from [start date] to [end date], I missed 80 hours, resulting in a total loss of $1,200.”

Maintain a professional yet polite tone throughout the letter. Avoid overly emotional language, and stick to the facts. A clear, neutral tone ensures the letter is taken seriously.

Send the wages loss letter as soon as possible after the loss occurs. If you’re submitting it to your employer, follow their internal protocol for submitting such claims. Always keep a copy for your records.

If you don’t receive a response within a reasonable time, follow up. Politely inquire about the status of your request and express your willingness to provide any additional information if needed.