Absence report

Employee’s name (required)

Department or team (required)

First day of absence (required)

Last day of absence (required)

Not back yet? Give the last day you expect to be off.

Were these full days?

Type of absence (required)

Anything the manager should know

Optional. Medical details are not needed.

Was the manager told on the day? (required)

Is there anything that would help the employee return?

For example a change of hours or duties for a while.

Who is filling this in? (required)

Declaration (required)

Signature

Draw your signature, or choose Type instead to type your name.