Substitute Request Form
Please submit the date and times you need a substitute and the type of leave you are taking.

• If you complete this form after 2:00 pm the day before, please text 219-204-1560 to notify her of the request.
• Same day requests--call Sarah Coss, 219-204-1560 directly to request sub, complete the online form and notify your school administrator via text that you will be out.

IF THIS IS A SHORT NOTICE or EMERGENCY REQUEST, CALL 219-204-1560.

Please complete this form for each day you will be absent.

File all required paperwork in the school office for leave requests. This form is for sub scheduling purposes only.
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First Name *
Last Name *
Email Address *
Emergency Contact Number *
Building Location *
Required
Leave date *
MM
/
DD
/
YYYY
AM/PM/All day *
Sub Needed *
Type of leave *
Description if needed. Fusce dapibus, tellus ac cursus commodo, tortor mauris condimentum.
Reason for leave *
Notes
Submit
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