Call Out Form

Call Out Form
While the Company understands you may need to be absent from work for a variety of legitimate reasons, absenteeism, and tardiness, even for good reasons, burdens your fellow employees and hinders our operations. For that reason, excessive unexcused absenteeism and tardiness will not be tolerated.
Employee Name

First NameLast Name
Call Out Date

MonthDayYear
Date
Employee Email
example@example.com
Manager Name

First NameLast Name
Reason For Absence
Sick
Coverage Plan
Who/When will your responsibilities be covered?
Use PTO?

YesNo
Employee Signature

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Submitting this form notifies management of your absence, but it does not automatically excuse the absence. All call outs are subject to review and approval by management. Absences may be considered unexcused.

If you are going to be late or absent from work for any reason, you must personally notify your supervisor no less than one hour prior to the beginning of your shift, so that arrangements can be made to handle your work during your absence. Absences exceeding three (3) consecutive days will require a physician’s note.
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