2929 McDougall Avenue, Enumclaw, WA 98022
Ph: 360.802.7118
Fax: 360.802.7123
Report of Absence
An employee who is absent must submit this report to the principal or supervisor within 48
hours after returning. State law mandates that absence for personal illness in excess of
five consecutive days must be verified both as to inclusive dates and reason by a written
statement from a physician.
Name of Employee
Dates
Number of
Hours Absent
Reason for Absence
Corresponding Substitute Information
Name of Substitute
Signature of Employee
PR2
Rev 4/09
yellow
Dates
Date
Number of
Hours Subbed
Budget Number
Signature of Substitute
Date
Signature of Supervisor
Date