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Employee Absentee Report
Please fill out this report to request a day off work.
* Indicates required question
Email
*
Record my email address with my response
Employee Name
*
Your answer
Today's Date
*
MM
/
DD
/
YYYY
Date Requesting Off
*
MM
/
DD
/
YYYY
Type of absence
*
Sick Day
Personal Day (must request 3 days in advance)
Death in Family
Jury Duty (Must provide documentation from the court upon return)
Vacation Day
Length of absence
*
Half Day AM (Will arrive by 11:30 AM)
Half Day PM (Will leave no earlier than 11:30 AM)
Full Day
Comment
Your answer
Administration Only:
Principal's Signature
Superintendent's Signature
A copy of your responses will be emailed to .
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