Absence Report Form
For same day LAST MINUTE and EMERGENCY situations, you MUST also speak with a Transportation Supervisor or Dispatcher.
CPSB Transportation Department
Bus Drivers and Attendants ONLY
Date(s) of Absence
Only one day or consecutive (back to back) time period per form. A doctor statement is required for absences lasting longer than six (6) days or in the case of habitual absences.
Date of Absence
Please fill out entire year in the follow format: MM/DD/YYYY
MM
/
DD
/
YYYY
Date of Return
MM
/
DD
/
YYYY
Long term absence explanation
Complete only if you DO NOT have a return date yet. For example: Off until further notice, did not pass physical, or license expired.
Your answer
Time Period Of Absence
Required
Employee and Route Information
Bus Number
Your answer
Employee Status
Employee's Last Name
Your answer
Employee's First Name
Your answer
Reason for Absence
Route Assignment Area
Where is the bus parked?
Your answer
Bus Attendant Route Information
Where does the Attendant meet the bus?
Your answer
Morning: What time does the Attendant meet the bus?
Time
:
Afternoon: What time does the Attendant meet the bus?
Time
:
Are you a Transportation Supervisor or Dispatcher?
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