Absence Request

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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