Staff Absence Notification | Annemount School

Name *

First

Last

Date(s) of Absence

For each date listed, please indicate the following: if you were absent for the whole day, please note 'whole day'. If you arrived late or left early, please note the time of arrival or departure.

Reason for Absence

If absent for illness, please select if a:

doctor was visited?
prescription needed?
period of rest specified?
Doctor's Certificate given?*

* A certificate is not required to return to work unless absent for 5 or more days in a row. Copies of appointment confirmation (for early departures or late arrivals) or Doctor's Certificates should be emailed to the Head Teacher.

Signature

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