Work Related Absence

Employee First Name Question is mandatory

Employee Last Name Question is mandatory

Employee Email Address Question is mandatory

Campus

Is this a correction to a prior request?

Yes

Name of Event / Training / Class

Date(s) of Event / Training

Length of Event / Training

Half day – AM

Half day – PM

Full day

Other (Please specify)

Account Code: If department provided an account code, please include below

Instructor / Trainer Name

Who invited you to attend the training / meeting?

Please provide additional information / clarification about your absence request
Who gave you permission for this request? Who is coverign sub cost (Campus? Department? Activity Fund?). Please copy and paste the Department / Instructor email request / invitation details here, if applicable.

Substitute Information – Additional Required Information

Substitute Required?

Yes

Have you secured a Substitute?

Yes

N/A

Name of Substitute