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ABSENCE FORM

Please submit this report to your supervisor when you plan to be out of the office.
NAME:

AUTHORIZATION:

_________________

REASON (Circle)

DATE OUT

DATE IN

SEMINAR

_________________

_________________

CONFERENCE

_________________

_________________

VACATION OR PTO

_________________

_________________

OTHER _____________________

_________________

_________________

CC:

______________________

Receptionist
Personnel

ABSENCE FORM
Please submit this report to your supervisor when you plan to be out of the office.
NAME:

AUTHORIZATION:

_________________

REASON (Circle)

DATE OUT

DATE IN

SEMINAR

_________________

_________________

CONFERENCE

_________________

_________________

VACATION OR PTO

_________________

_________________

OTHER _____________________

_________________

_________________

CC:

______________________

Receptionist
Personnel

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