Absence Request Absence Request Employee Info First Name Last Name Employee Number Department Email Timeline You must submit requests for absences, other than sick leave, 5 business days prior to the first day you will be absent. Date of Absence Beginning * Date of Absence Ending * Date of Return * Reason for Absence Type of Absence * Sick Vacation Bereavement Time off w/o pay Military Jury Duty Maternity/Paternity Late Arrival Early Departure Other Explain reason for absence: * Leaving at: * 121234567891011 : 00153045 AMPM Arrived at: * 121234567891011 : 00153045 AMPM If you are human, leave this field blank. Submit for Approval
