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Teacher Absence Form
This form is necessary for payroll purposes. Please complete this form as soon as possible before an absence or on the day you return from an unexpected absence.
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* Required
Teacher Name
*
(Last, First)
Your answer
Date(s) Absent
*
Your answer
Time Absent
*
Less than 4 hours is half day, more than 4 hours is full day.
Full Day
Half Day
Multiple Days
If Half Day, what time will you be leaving/returning?
Your answer
Reason for Absence
*
Personal Illness
Family Illness
Death in Family
Medical Appointment
Personal Leave
School Field Trip
CCS Athletic Event
Professional Development Conference or Workshop
Other School Related Event
Other:
Comments
Your answer
Please check which class periods you will be missing.
*
ALL DAY
First
Second
Third
Fourth
Fifth
Sixth
Seventh
Other:
Required
Do you have duty on the day(s) you will be absent?
If so, please type which duty and what time someone needs to cover.
Your answer
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