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Report An Absence
The submission of this form is required for Service Associates of Forge Industrial Staffing to report an absence.
Which State Are You Located In?
*
Michigan
Indiana
Please Select The Forge Office That You're Assigned Through
*
Please Select
Grand Rapids, MI (Alpine)
Grand Rapids, MI (Cascade)
Grandville, MI
Holland,MI
Muskegon, MI
Livonia, MI
Warren, MI
Elkhart, IN
South Bend, IN
Please Select The Forge Office That You're Assigned Through
*
Please Select
South Bend, IN
Indianapolis, IN
Fort Wayne, IN
Elkhart, IN
Client That You're Assigned At
*
Branch Value Equals
*
First Name
*
First Name
Last Name
*
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Last 4 Digits of SSN
*
Phone Number
*
Please enter a valid phone number.
Email Address
*
example@example.com
Date of Absence
*
-
Month
-
Day
Year
Date
What Time Does Your Shift Start?
*
Hour Minutes
AM
PM
AM/PM Option
Will you be absent for an entire shift?
*
Yes
No
How Many Hours Will You Be Absent For?
Please Select
1
2
3
4
5
6
7
How Many Minutes Will You Be Absent For?
Please Select
1
2
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5
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59
Please Explain The Reason For Your Absence
*
Manager Approved
Yes
No
Paid?
Yes
No
Please verify that you are human
*
Submit
Should be Empty: