Staff Absence Form

Your first name *

Your last name *

Job Title *

School *

Normal working days/hours *

Type of absence

Illness

Family/Dependants

Medical appointment

Compassionate leave

Other

Is this a request for a future absence?

Paid or unpaid leave *

Please note that in certain circumstances, even if authorised, staff absence will be unpaid. Please refer to the EVF Leave and Absence Policy if you require any further information

Paid

Unpaid

Dates and number of days absent *

Any other relevent information

exe valley federation

Exe Valley
Federation

Staff Absence Form