ABSENCE VERIFICATION FORM - CERTIFICATED STAFF - Wenatchee High School
Instructions: Please phone your absence in to the sub system (667-1572), then complete the following information and submit to Kim Flones prior to ANY absence, whether or not a sub is needed.
Staff Member Name: (First and Last, Please)
Email Address: (last.n@mail.wsd.wednet.edu)
Date(s) of Absence: Select Month: August September October November December January February March April May June Select Date: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 , 2007 2008
TO: Select Month: August September October November December January February March April May June Select Date: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 , 2007 2008
Assigned Job Number:
Has a Sub been Requested: YES or NO
Reason for Absence: 1. Sick Leave 8. Jury Duty 2. Emergency Leave 9. Maternity/Paternity Leave 3. Bereavement Leave 10. Military Leave 4. Personal Leave (Requires Prior Approval) 11. Extra Help 5. School Business (Describe) 12. Open Position 6. Staff Development (Describe) 14. Vacation 7. Athletics 15. Other
1. Sick Leave
8. Jury Duty
2. Emergency Leave
9. Maternity/Paternity Leave
3. Bereavement Leave
10. Military Leave
4. Personal Leave (Requires Prior Approval)
11. Extra Help
5. School Business (Describe)
12. Open Position
6. Staff Development (Describe)
7. Athletics
15. Other
If Absence is school business, staff development, or other... please provide billing information for sub, i.e. budget code and authorizing person, or outside agency name and address:
...OR...