Report your absence by completing this form. You will not need to submit a paper copy as this will create duplicates.​
* indicates a required field

Date(s) of Absence *

Enter date(s)of absence.

Last Name *

Enter your last name.

First Name *

Enter your first name

Email *

Enter your email address.

Site *

Section & Course *

Ex: MATH 102 F1607 & MATH 101 F4299

Absent the whole day? *

If full-time instructor, were you absent the whole day?


Additional Comments

Days/Hours Absent *

Ex: Monday, 1:00-2:15pm & 3:00-4:15pm

Reason for Absence *

Enter as follows:
PN (Personal Necessity)
Bereavement - Relationship
School Business - Explanation
Other - Explanation

Illness and PN (Personal Necessity) - Will be charged to Sick Leave.

Substitute *

Make-Up of Sub? (If sub, include name & hrs to be compensated)

Students Notified? *

Were your students notified of your absence?

Post Sign? *

Does a sign need to be posted?

EIN# *

Enter your EIN# and click on Save when you are done.  This will submit your form to the Division Office.