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Absence Request Form Example

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Text in this example:

Company Name YOUR LOGO HERE Absence Information Absence Request You must submit requests for absences, other than sick leave, two days prior to the first day you will be absent. Manager Approval Employee 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:  Approved  Rejected Comments: Manager Signature

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