Employee NO Work Day Form - OFFICE ONLY
Employee Name
*
First Name
Last Name
No work reason
*
Unscheduled Same Day REQUEST OFF
Unscheduled Day Before REQUEST OFF
NO CALL and NO SHOW
Same Day Late Start approved request
Same Day Leave early approved request
Approved Vacation Day (s) Request
Approved Unpaid Day Off Request
Denied Day Off Request
Approved Late Start
Approved Early Leave
Dr Note - Sick Day OFF
Prior Day Sick Day OFF Request
Unscheduled SICK called out
Other
No-Work /Late-start / Early-Leave/ Denied Date
*
-
Month
-
Day
Year
Date
Time
*
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Name of Office Employee Submitting Form
*
First Name
Last Name
Today's Date
*
-
Month
-
Day
Year
Date
Notes
Submit
Should be Empty: