Certificated Non-Illness Leave Request Form
REQUESTS WILL BE PROCESSED WITHIN 3 WORKING DAYS.
Email jbuckley@tahomasd.us if your request is less than 3 days away.
Use this form to request non-illness leave that will be deducted from your sick leave balance.
Last Name *
Your answer
First Name *
Your answer
Your Email Address *
Your answer
Your Building/Location(s) *
Required
Please enter the date(s) for FULL DAY requests below.
Please enter your date(s) in this format: 12/3/18. Separate multiple dates with commas.
Your answer
Please enter the date for HALF DAY requests (up to 3.5 hours) below.
If you need to enter more than one half day, you will need to submit one for each day.
MM
/
DD
/
YYYY
If you entered a HALF day above, please indicate if this is an AM or a PM request.
Is a substitute required for any part of the absences above? *
Please indicate if there are special circumstances in the space below.
If you have a prearranged substitute, please list the substitute's name below. Prearranged means that you have spoken to the sub and they have agreed to work for you. If you don't have a prearranged sub, the request will go out to your preferred list of subs first.
NOTE: Do NOT enter your absence into Substitute Online. This will be done for you by the Subsitute Coordinator if your request is approved.
Your answer
Leave Approval Information
Up to 20 district certificated staff members requiring a substitute may be out on non-illness leave on any given day. Prior approval will be granted on a first come, first served basis.
Please check the following box to indicate you understand the limitations of short-term non-illness leave. *
Required
Use the space below, if needed, to provide additional information regarding this request.
Your answer
Submit
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