Late Absence Form
Please complete the details below.
Employee Name
*
First Name
Last Name
Department
*
Position
*
Was due to work at:
*
Date
*
-
Month
-
Day
Year
Date
Employee was:
*
Please Select
Late
Absent
Employee:
*
Notified supervisor in advance
Did NOT notify supervisor in advance
Failed to show for work or call
Reason, comments and action taken by supervisor:
*
Where applicable, please note the time of the employee's call to report tardiness or absence.
Manager's Name
*
First Name
Last Name
Manager's Email
example@example.com
Signature
*
Date
*
-
Month
-
Day
Year
Date
Submit
Should be Empty: