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Staff Return To Work Form
St Mark's CofE Primary School
To be used by staff following any period of absence, completed the day of return to work.
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* Indicates required question
First and Last Name
*
Your answer
Your USN
*
Unique Staff Number - 3 digits
Your answer
First date of absence
*
MM
/
DD
/
YYYY
Date of return to work
*
MM
/
DD
/
YYYY
Dates and/or times of absence
*
E.g. "All day", or "For 3 days", or "Absent from 1pm"
Your answer
Reason for absence
*
Keep it brief!
Your answer
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