EASTMONT SCHOOL DISTRICT NO. 206
EMPLOYEE ABSENCE REPORT
Name:						Date:
This is to certify that I was absent from work on
						Date(s)
a total number of					hour(s).
My absence was occasioned by:
Personal Illness/Injury					Emergency Leave
					(State what the emergency was)
Maternity Leave					Personal Leave
					(With prior approval of Superintendent)
Jury Duty/Subpoena Leave					Bereavement Leave
					(State relationship to deceased)
Workshop					Vacation Leave
(State name of workshop)
EEA/PSE/CPEA Assoc. Leave					To Be Billed To
Name of Substitute:
Supervisor's Signature & Date						Employee's Signature & Date