Staff Absence Request 

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Employee Name *
First Name
Middle
Last Name
Today's Date*
Date(s) for Absence Request*
Period of Time *
Periods Needing Coverage
Type of Requested Absence *
What Duties Need to be Covered (Carline, Bus, Lunch, D-Hall, Detention, Before Care, After Care...)
Lesson Plans Will Be Left Where
Additional Info/Comments
*