Office of Admissions and Records
Absence Report
 

Employee Name        
Employee Email         


Please select from the following   Vacation   Sick   Floating Holiday   Funeral Leave   None
                                                        Check if late arrival   Check if early departure

Dates             To:        From: 

Time              To:          From:

Total Hours       

Total Days         

Deduction Code 

                                      (Academic Professional only)
                                      If its approved time off without deduction, please provide reason below:
                           


Please read below and check this box to certify
"By checking the box above, I certify that the information is being submitted by me (the employee
 who's absence report is being submitted herein)!"

Please include email addresses of additional people you want to send this notice to:
Additional email address:
Additional email address: