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Absence Form
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Absence request form
[Company Name]
Absence RequestAbsence InformationEmployee Name:
Employee Number:
Department:
Manager:
Type of Absence Requested:
|_|Sick|_|Vacation|_|Bereavement|_|Time Off Without Pay
|_|Military|_|Jury Duty|_|Maternity/Paternity|_|Other
Dates of Absence: From:To:
Reason for Absence:
You must submit requests for absences, other than sick leave, two days prior to the first day you will be absent.
Employee SignatureDate
Manager Approval|_|Approved
|_|Rejected
Comments:
Manager SignatureDate