LCSD Employee Absence Form

Lee County School District

Employee Absence Form
Employee Name*
Building/Department*
List the date(s) of your absence(s)*
What type of day(s) are you taking?*

FullHalf
Is a substitute required for your absence?*

YesNo
Select the reason for your absence(s).*

Personal IllnessFamily IllnessBereavementPersonal DayVacation (if applicable)Jury Duty (jury duty notice required)Professional Development: Name, place and description of PD required.School Business other than professional development: Name place and description of school business required.
If you selected professional development as your reason for your absence, please state the name, place and description of this event.
If you selected school business as your reason for your absence, please state the name, place and description of this event.
Signature of Staff Member

Clear
Date*

MonthDayYear
Date
Before you submit your form, select the appropriate department below and preview the PDF.*

Central OfficeLearning Services or Pre-KSpecial ServicesMaintenanceASLALHS
Should be Empty:

Lee County School District