2018-2019 Certificated Absence Report
Please complete all required fields to request time off. If it is after 7 am on the date of your absence, please contact your school site as well as filling out this form.
Email address *
First AND Last name or "Rover" *
Your answer
Absence From *
MM
/
DD
/
YYYY
Absence To *
MM
/
DD
/
YYYY
Total Days *
Total Hours (Full Day is 7 Hours) *
Your answer
Start of Absence Time *
Time
:
End of Absence Time *
Time
:
Leave- Check reason below *
Required
Specify (put N/A if not Applicable) *
Your answer
Name of Substitute Requested (If no sub is needed, please say "No sub needed"
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
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