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PTSC Staff Absence Form
Please fill out and submit when you are going to be absent.
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* Indicates required question
Email
*
Your email
Date
*
MM
/
DD
/
YYYY
First Name
*
Your answer
Last Name
*
Your answer
Best number where we can reach you:
*
Your answer
Building
*
PLE
BGE
BGMS
BGHS
CO
ANNEX
Required
I am not sick. I am taking a:
Personal Day
Professional Day
Bereavement Day
Vacation Day
Family Illness Day
Jury Leave
Clear selection
I have tested positive for COVID-19 via nasal swab
*
Yes
No
Waiting for results
Symptoms I am experiencing:
*
A fever of 100.4° F or greater or Chills
Cough (especially new onset, uncontrolled cough) or Shortness of Breath
Headache (particularly new onset of severe headache)
Sore throat
New loss of taste or smell
Diarrhea. Nausea or Vomiting, or Abdominal Pain
None
Other:
Required
If needed, I have entered my absence in AESOP for a substitute teacher
*
Yes
No
NA
Person completing form
*
Your answer
Other
Your answer
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