Absence Form

Full Name

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Absence Type

Sickness Details

Reason

I confirm I am fit to return to work and this is a true and accurate statement I understand I must speak my line manager to confirm my return as soon as I return to school I understand that failure to speak to a senior leader on my return could lead to disciplinary action

Leave Details

Reason

More Information (Required)

I have spoken to my line manager regarding this request before filling out this form

Cover Status

Dates & Times

First Day

Last Day

Duration

Supporting Document

Would you like to attach a supporting document?
e.g. sick note, medical certificate, appointment letter

Attach Document

Select File

PDF or image only. Maximum 10MB.

Review & Confirm

✓

Request Submitted

Thank you. Your absence request has been successfully recorded.