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Report of Absence

  1. Department Name

  2. Is employee on probation?*

  3. Reason For Absence*

    Please select applicable reason

  4. *Submit with injury report **Submit with violation report or letter ***Submit with copy of military orders
    Submit with copy of City Manager's Letter of Authorization ++Submit with copy of jury summons

  5. Leave This Blank:

  6. This field is not part of the form submission.