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Human Resources at Union College - Employee Absence Form

First Name:
Last Name:
 
  • By the 5th of each month - Report due from Employee to Supervisor
  • By the 10th of each month - Report due from Supervisor to Director of Payroll.
Department:     Month:
 

Instructions: Fill out the form, then click the "submit" button below to format and compile the results.
Look over the results carefully. If correct, print out and submit them to your supervisor.

(**Note: If you would prefer to fill out the form by hand, blank forms are available for print here.)

Check this box if you have no absences to report:
Date of Absence Cause of Absence Hours/Days Absent Comment
1.   to
Day(s)
Hr(s).
2.   to
Day(s)
Hr(s).
3.   to
Day(s)
Hr(s).
4.   to
Day(s)
Hr(s).
5.   to
Day(s)
Hr(s).
6.  to
Day(s)
Hr(s).
7.   to
Day(s)
Hr(s).
8.  to
Day(s)
Hr(s).
9.   to
Day(s)
Hr(s).