Free Employee Absence Report Form

This Employee Absence Report is a record of an employee’s work absences. This report includes employee’s name, department, ID number, dates and reason for absence and comments. This Employee Absence Report also includes an area for a supervisor’s report.

Disclaimer:This was not drafted by an attorney & should not be used as a legal document.




EMPLOYEES ABSENCE REPORT
Date: ______________________________________
Department: ________________________________
Employee: __________________________________
Employee ID: ________________________________
Date(s) of absence:
________________________________________________________________________
Reason for absence: _______________________________________________________
_______________________________________________________________________
COMMENTS: ___________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
______________________ ________________________________________________
_____________________________
Employee Signature

SUPERVISOR’S REPORT
This report is correct, to the best of my knowledge.
COMMENTS: ___________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
______________________ _______________________________________________

________________________________
Supervisor’s Signature




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