Absence Form
Name:
(Required)
Email:
(Required)
Today's Date:
(Required)
MM slash DD slash YYYY
Department / Supervisor:
(Required)
-Select One-
Management – Sami
Management – Morris
Management – Izak
Administration – Avraham
Licensing – Etty
Production – Kelly
Production – Shirley
Production – Patty
Production – Mordy
Design – Andrea
Design – Sheryl
Design – Sellina
Design – Larae
Design – Jill
Design – Sara
Design – Celina
Design – Helena
IT – Uri
Sales – Amanda
Sales – Nicole
Sales – Taylor
Sales – Helene
Shipping – Joey
Tech Design – Rowena
Type of Absence:
(Required)
-Select One-
Paid Sick
Unpaid Sick
Paid Vacation
Unpaid Vacation
Bereavement Leave
Jury Duty
Work From Home
Total Days of Absence:
(Required)
From Date:
(Required)
MM slash DD slash YYYY
To Date:
(Required)
MM slash DD slash YYYY
Reason for Absence:
(Required)
Attachments (Optional):
Max. file size: 1 GB.
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