Central School District #104 Personnel Action Form
Email address *
Name *
Grade/Building *
Building Administrator *
Required
Single Day: Date of Absence
MM
/
DD
/
YYYY
Multiple Days: Beginning Day of Absence
MM
/
DD
/
YYYY
Ending Day of Absence
MM
/
DD
/
YYYY
Duration of Absence *
Required
Substitute Needed
Type of Absence *
Required
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This form was created inside of Central School District #104. - Terms of Service - Additional Terms