Staff Absence/Time Off Request Form Please complete this form within 48 hours of returning from absence(s) First Name Last Name Email Address Date of Absence Date of Return Select One Illness or injury Medical Appointment Personal Recognized religious holiday Other - may not be approved (complete area below) Reason for Other Would You Like To Request A Substitute? Yes No Preferred Substitute I understand that all absences are subject to approval by the Executive Director per company policies. Submit