ࡱ> '` nbjbj 4oHHHHHHH\\+h|P@*******$Y,h.J+]H"""+HH]+%%%" HH*%"*%%HH% Pmמ" %&Ts+0+% /" /% /H%" h% T ++X%+""""\\\\\\\\\HHHHHH ADMINISTRATIVE STAFF-PROFESSIONAL STAFF-FACULTY Absence Request Form Southern Illinois University EdwardsvillePrint or Type NameBanner IDBeginning Date/HrEnding Date/Hr  FORMTEXT       FORMTEXT        FORMTEXT        FORMTEXT      Sick LeaveOther LeavesNON-ACCRUABLEACCRUABLEVACATIONTEMPORARYFUNERALOTHER  PLEASE SPECIFYPrior to 1/1/84On or after 1/1/981/1/84-12/31/97 FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  *Explain below*REASON FOR ABSENCE:  FORMTEXT      Employee s Department:  FORMTEXT      Employee s Signature: Today s Date:  FORMTEXT      ApprovedDeniedSignaturesToday s Date  FORMCHECKBOX  FORMCHECKBOX Chairperson or Supervisor: FORMTEXT        FORMCHECKBOX  FORMCHECKBOX Dean, Director, or Fiscal Officer: FORMTEXT      Administrative staff, professional staff, and faculty should submit absence requests to their immediate supervisors or department chairs in advance, consistent with any applicable personnel policies and collective bargaining agreements. Except in cases of illness or injury, employees should submit such requests at least one week in advance unless immediate employing units require greater advance notice, based on University operating needs. Employees must notify their supervisors or department chairs of the reasons for and expected duration of absences due to illness or injury as soon as possible. Doctor certification of absence may be required. MAKE A COPY OF THIS FORM FOR YOUR RECORDS 8/09-----------------------cut here------------------------- ADMINISTRATIVE STAFF-PROFESSIONAL STAFF-FACULTY Absence Request Form Southern Illinois University EdwardsvillePrint or Type NameBanner IDBeginning Date/HrEnding Date/Hr  FORMTEXT       FORMTEXT        FORMTEXT        FORMTEXT      Sick LeaveOther LeavesNON-ACCRUABLEACCRUABLEVACATIONTEMPORARYFUNERALOTHER  PLEASE SPECIFYPrior to 1/1/84On or after 1/1/981/1/84-12/31/97 FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  *Explain below*REASON FOR ABSENCE:  FORMTEXT      Employee s Dbd   > ` b d f z Ƹ䕃ttj\J<hpCJOJQJ^JaJ#jhpCJOJQJU^JaJhpCJOJQJ^JaJhpOJQJ^Jhp5CJOJQJ^JaJ#hyhp5CJOJQJ^JaJ#hMhp5CJOJQJ^JaJ hMhMCJOJQJ^JaJhMCJOJQJ^JaJhM5CJOJQJ^JaJhS5CJOJQJ^JaJhMOJQJ^J!jh#kh#kOJQJU^Jd  B ` jaaaa $Ifgdj}kd|$$IfTl0&~ t0`'44 laT $$Ifa$gdM $$Ifa$gd:V n` b d MDDDDDD $Ifgdjkd$$IfTl\x&Dt t0`'44 lapytpTz | ~    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$$Ifa$gdy}kd&$$IfTl0,& t0`'44 laTJ(FHPRTprtvx׶ាᆶnV/j-h<h<CJOJQJU^JaJ/j9-h<h<CJOJQJU^JaJ/j,h<h<CJOJQJU^JaJ/jQ,h<h<CJOJQJU^JaJ#jhyCJOJQJU^JaJhy5CJOJQJ^JaJhyOJQJ^JhyCJOJQJ^JaJ hjhyCJOJQJ^JaJ!kd'$$IfTl4ֈ #&`X,``M`"` t0`'44 lap<T(HJLNPRv*Nr $IfgdyFfj1Ff* $$Ifa$gdy$&(*,HJLNPlnprϵϛρg]Nhy5CJOJQJ^JaJhyOJQJ^J2j}/h<h<5CJOJQJU^JaJ2j /h<h<5CJOJQJU^JaJ2j.h<h<5CJOJQJU^JaJ2j!.h<h<5CJOJQJU^JaJhy5CJOJQJ^JaJ&jhy5CJOJQJU^JaJhyCJOJQJ^JaJffff.f0f2ff@flf힔qYH hZJhyCJOJQJ^JaJ/jt4h8whyCJOJQJU^JaJ#hZJhy5CJOJQJ^JaJUhy5CJOJQJ^JaJhyOJQJ^J h)9hyCJOJQJ^JaJ.jh<CJOJQJU^JaJmHnHu/j3h8whyCJOJQJU^JaJhyCJOJQJ^JaJ#jhyCJOJQJU^JaJff@flfnfpfrffff $Ifgdylkd4$$IfTl(&`' t0`'44 laT epartment:  FORMTEXT      Employee s Signature: Today s Date:  FORMTEXT      ApprovedDeniedSignaturesToday s Date  FORMCHECKBOX  FORMCHECKBOX Chairperson or Supervisor: FORMTEXT        FORMCHECKBOX  FORMCHECKBOX Dean, Director, or Fiscal Officer: FORMTEXT      Administrative staff, professional staff, and faculty should submit absence requests to their 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