Agency/Limited Term Absence Form
Indicated sites will have access via their site dashboard. For questions, please email selpa_office@pvusd.net or call our main office at 831-786-2130.
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Email *
Employee Full Name *
Current Work Site *
If unknown, please select "District Office/Itinerant"
Position *
Date of Absence *
One (1) day only. Submit a new response for each date of absence.
MM
/
DD
/
YYYY
Is this an All-Day Absence or Partial Day? If Partial, specify time of absence under "Other" below: *
PARTIAL DAY EXAMPLE: Scheduled end time is 2:30 but leaving early at 1:00 means time of absence is "1:00 PM- 2:30 PM"; ANOTHER EXAMPLE: Scheduled start time is 8:00 but will be late at 9:00 means time of absence is "8:00 AM - 9:00 AM"
A copy of your responses will be emailed to the address you provided.
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