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Morton Upper Elementary Staff Absence Form

Please complete the form below in its entirety. Required fields marked with an asterisk *

Staff Member's Name*

Answer Required

Today's Date*

Answer Required

Date of Absence*

Answer Required

Reason for Absence*

Answer Required

Personal

Sick

Professional Development

Bereavement

Medical Leave (more than 3 days in a row)

Name of Substitute (please complete Frontline request first if applicable)

I will need a Substitute for the Date(s) indicated and have contacted Kelly Services.

Answer Required

I hereby declare that the information provided is true and accurate. I also understand that any willful dishonesty may render for disapproval of this request.

Staff's Signature*

Answer Required