LEAVE FORM

ABSENT_____ EXCUSE_____

NAME:
DATE REQUESTED:
DATE OF ABSENT/EXCUSE:
TIME OUT (EXCUSE):
TIME RETURN (EXCUSE):

REASON FOR ABSENT/EXCUSE:

REQUESTED BY (name and signature):

CONFIRMED BY AUTHORIZED PERSONNEL (name, signature, date):

LEAVE FORM

ABSENT_____ EXCUSE_____

NAME:
DATE REQUESTED:
DATE OF ABSENT/EXCUSE:
TIME OUT (EXCUSE):
TIME RETURN (EXCUSE):

REASON FOR ABSENT/EXCUSE:

REQUESTED BY (name and signature):

CONFIRMED BY AUTHORIZED PERSONNEL (name, signature, date):