Fillable ABSENCE REPORT Dept: First Date Absent: Date Ret (Cisco College)

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ABSENCE REPORT Dept: First Date Absent: Date Ret (Cisco College)

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ABSENCE REPORT
Name: SS#
Dept: First Date Absent: Date Ret
urned to Work:
Total Days Absent (Must be in 4 or 8 hour a day increments):
Sick:
Vacation:
Reason for Absence:
Explanation:
Faculty Only:
Class(es):
Subject Section Period Time
Subject Section Period Time
Disposition of Class(es):
Approved:
Supervisor: X____________________________ Employee: X
Date: _____________________________ Job Title: ______________________________
Date: ______________________________
Note: Be sure to mark all blanks applicable to your absence and form is signed by Supervisor and employee.
___________________________
Sick Leave Pool
06/2014 MW
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ABSENCE REPORT Dept: First Date Absent: Date Ret (Cisco College)

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Completed 27 July 2020

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