Absence Information
You must submit requests for absence, other than sick leave, 2 weeks prior to the first day you will be absent
.
Name
*
First
Last
Email
*
Show Time
*
Type of Absence Requested
*
Sick
Vacation
Bereavement
Military
Jury Duty
Maternity/Paternity
Dates of Absence: From Date
*
Date Format: MM slash DD slash YYYY
To Date
*
Date Format: MM slash DD slash YYYY
Reason for Absence
*
Signature
*
Date
*
Date Format: MM slash DD slash YYYY
Manager Approval?
▢ Approval ▢ Rejected
Comments
Manager Signature
Date
Date Format: MM slash DD slash YYYY