QUEENSBOROUGH COMMUNITY COLLEGE
The City University of New York
BIWEEKLY ABSENCE REPORT
Department __________________________
Payroll Period: __________ to _____________
Please remit this form to: The Office of Adjunct Services, Room A-504
CHECK ONE COLUMN ONLY
NAME
DATES
ABSENT
Charge to
Illness
Charge to
Authorized
Absence
Charge to
Unauthorized
Absence
Remarks
Initials
All absences must be reported. If the absence is either authorized or unauthorized, an entry must be made in the
remarks column indicating the reason for the absence.
Date: ______________________________________
__________________________________________
(Signature of Department Head)
Due Date: Every Monday by 12pm