Fillable Monthly Departmental Employee Absence Report (Rogers State University)

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Monthly Departmental Employee Absence Report (Rogers State University)

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Monthly Departmental Employee Absence Report
(This report is due to the Employment & Benefits Office by the 1
st
of the Month)
MONTH/YEAR: __________________________________________________
Employee Name: __________________________________________________
Employee ID #: __________________________________________________
Date Begin Ending
(mm/dd) Time Time Hours
_____ _____ _____ _____
_____ _____ _____ _____
_____ _____ _____ _____
_____ _____ _____ _____
_____ _____ _____ _____
Type of Leave
____________
____________
____________
____________
____________
____________
_____ _____ _____ _____
TOTAL HOURS _____
Date: Employee: ___________________________ ____________
Date: Supervisor: ___________________________ ____________
NOTE: Annual leave must be pre-approved by the employee’s department head or
director and be for a period which is mutually agreed to by the employee and his/her
supervisor.
EMPLOYEE ABSENCE REPORT
1-61000-29 (7/04)
07/29
0
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Completed 9 February 2021

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