Dept. of Human Services Absence Notification Form - Academic Support Professional
Dept. of Human Services Absence Notification Form - Academic Support Professional
Name:
Name:
*
First
Last
Email:
*
Date of Absence:
Date of Absence:
*
/
MM
/
DD
YYYY
Total Hours:
Leave Reported in Quarter-Hour Increments
*
Type of Used Leave:
*
Type of Used Leave:
Break Day/Accrued Leave
Sick Leave
Personal Leave
Bereavement Leave
Court Required Leave
Leave without Salary
Family Sick Day
Which activities will you miss while absent?
(check all that apply)
*
Which activities will you miss while absent?
(check all that apply)
Office Hours
Departmental Meeting
Other
Other
List each missed activity, including the days/times and location.
Example: Office Hours Wed 2-4p KH 2020
*