Absence Form

This form must be completed at the point of absence notification.

FULL Name of person completing form *

Employee FULL Name *

Date of Absence AND Expected date due back to work, if known *

Place of Work

Client Informed

Please state exact reason for absence eg bad back *

Appointment details, ie where and when, please obtain evidence

Has sick note been sent to support (If applicable)YES/NO

Website/URL

If you are human, leave this field blank.

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