EMPLOYEE TARDY / ABSENTEE FORM

FIRST NAME:LAST NAME:DATE:DATE OF EVENT:SUPERVISOR:SITE:EXCUSED ABSENCEUNEXCUSED ABSENCETARDYPARTIAL HRS WORKEDOTHERIF OTHER, EXPLAIN BELOWEXPLANATION / SUMMARY:DISCIPLINETRANSPORTATIONLEAVE OF ABSENCEDEATH IN FAMILYJURY DUTY/COURTFMLAOTHERPERSONALMEDICAL APPTUNKNOWNEMPLOYEE TARDY / ABSENTEE FORMEMPLOYEE INFORMATIONEXPLANATION / REASONSICKFAMILY SICKACCIDENTINJURY ON JOB

first name: last name: date: date of event: supervisor: site: excused absence unexcused absence tardy partial hrs worked other if other, explain below

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  Form, Employee, Absentee, Tardy, Employee tardy absentee form

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