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
Date of Return
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.
Time Period Of Absence
Employee and Route Information
Employee's Last Name
Employee's First Name
Reason for Absence
Death - Immediate Family - obituary required
Jury Duty - Subpoena Required
Out of Town Trip (For CPSB business only)
Administrative Leave - FOR OFFICE USE ONLY
Route Assignment Area
Shreveport Garage Bus
Vivian Garage Bus
Where is the bus parked?
Bus Attendant Route Information
Where does the Attendant meet the bus?
Morning: What time does the Attendant meet the bus?
Afternoon: What time does the Attendant meet the bus?
Are you a Transportation Supervisor or Dispatcher?
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service