Absence Request
Absence Request
Absence Information
Employee Name: Department Manager: Omar Bazzari R&D Hazem Bawab
Type of Absence Requested: Sick Other: Dates of Absence: From: Reason for Absence: Personal 12-03-2012 9:00 AM To: 12-03-2012 10:30 AM Vacation Time Off Without Pay Maternity/Paternity
You must submit requests for absences, other than Emergencies, three days prior to the first day you will be absent. Emergency cases are defined in the Emergency Issues.doc document. Employee Signature Date: 14-03-2012
Manager Approval
Approved Rejected Comments:
Manager Signature