Employee Leave Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Employee Leave Form

Please submit this form to request paid time off (Sick, Personal, Bereavement, Vacation, Emergency, Professional, other).

Email Address *

Last Name *

First Name *

Today's Date *

YYYY

Reason for absence *

Sick (including member of immediate family)

Emergency (an emergency out of the control of the employee during school hours)

Personal Day

Professional / Jury Duty / Other (conferences, reports and/or training related to Abiqua School)

Vacation (admin staff only)

Start Date of Absence *

YYYY

End Date of Absence *

YYYY

Total number of days absent *

Number of hours absent *

Is pay requested for time off? *

Yes

Name of Substitute (if applicable) *

Additional notes/comments

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Abiqua School.

Does this form look suspicious? Report