Employee Absence Form

EMPLOYEE ABSENCE
LAST Name *
FIRST Name *
Position *

Throop Assistant or Office Staff Throop Cafeteria Throop Custodian Throop Teacher, Admin, Other Certified Jr-Sr High Assistant or Office Staff Jr-Sr High Cafeteria Jr-Sr High Custodian Jr-Sr High Teacher, Admin, Other Certified Custodial or Maintenance Supt Office, Tech, or SCASEC Shared
Date(s) of Absence(s) *
Date of Absence(s) *
Specify any of the above dates if Half AM or Half PM
Leave this blank if absences are full days
Type of Absence *
Specify Relation *
(For Family Illness or Bereavement)
Name of PD, Meeting or Field Trip (must be pre-approved) *
Signature *

Clear
DISTRIBUTION (Corp Use Only)
Sub $ Amount
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Should be Empty: