Employee Absence

Off Day Form

935 National Parkway, Suite 93570, Schaumburg IL 60173
Employee
Requested date(s) of absence
Total number of days
Saturdays and Sundays are not counted. You can adjust the total manually (e.g. half days).
Reason for absence
Payable absence
Employee signature
Sign above with your finger
Your request goes straight to your department manager for signature.
You'll be notified once it's decided.
Employee Absence

Off Day Form

935 National Parkway, Suite 93570, Schaumburg IL 60173
Date: Employee Name (print):
Requested Date(s) of Absence:
Total Number of Days: Reason for Absence: Payable:
Employee Signature: Date:
Authorized by (supervisor):   Date:  

Office Use Only

Office Notified Date:   Entered by (sign):  
Date Entered:   Entered by (sign):