Employee Absenteeism Form
Employee Name
First Name
Last Name
Department
Please Select
Sales
Marketing
Finance
Human Resources
Product
Month
Please Select
January
February
March
April
May
June
July
August
September
October
November
December
Days of Absence (Total #Personal)
Day 1
Work Shift
Vacation
Personal
Sick
Weekend
National Holiday
Day 2
Work Shift
Vacation
Personal
Sick
Weekend
National Holiday
Day 3
Work Shift
Vacation
Personal
Sick
Weekend
National Holiday
Day 4
Work Shift
Vacation
Personal
Sick
Weekend
National Holiday
Day 5
Work Shift
Vacation
Personal
Sick
Weekend
National Holiday
Day 6
Work Shift
Vacation
Personal
Sick
Weekend
National Holiday
Day 7
Work Shift
Vacation
Personal
Sick
Weekend
National Holiday
Day 8
Work Shift
Vacation
Personal
Sick
Weekend
National Holiday
Day 9
Work Shift
Vacation
Personal
Sick
Weekend
National Holiday
Day 10
Work Shift
Vacation
Personal
Sick
Weekend
National Holiday
Day 11
Work Shift
Vacation
Personal
Sick
Weekend
National Holiday
Day 12
Work Shift
Vacation
Personal
Sick
Weekend
National Holiday
Day 13
Work Shift
Vacation
Personal
Sick
Weekend
National Holiday
Day 14
Work Shift
Vacation
Personal
Sick
Weekend
National Holiday
Day 15
Work Shift
Vacation
Personal
Sick
Weekend
National Holiday
Day 16
Work Shift
Vacation
Personal
Sick
Weekend
National Holiday
Day 17
Work Shift
Vacation
Personal
Sick
Weekend
National Holiday
Day 18
Work Shift
Vacation
Personal
Sick
Weekend
National Holiday
Day 19
Work Shift
Vacation
Personal
Sick
Weekend
National Holiday
Day 20
Work Shift
Vacation
Personal
Sick
Weekend
National Holiday
Day 21
Work Shift
Vacation
Personal
Sick
Weekend
National Holiday
Day 22
Work Shift
Vacation
Personal
Sick
Weekend
National Holiday
Day 23
Work Shift
Vacation
Personal
Sick
Weekend
National Holiday
Day 24
Work Shift
Vacation
Personal
Sick
Weekend
National Holiday
Day 25
Work Shift
Vacation
Personal
Sick
Weekend
National Holiday
Day 26
Work Shift
Vacation
Personal
Sick
Weekend
National Holiday
Day 27
Work Shift
Vacation
Personal
Sick
Weekend
National Holiday
Day 28
Work Shift
Vacation
Personal
Sick
Weekend
National Holiday
Day 29
Work Shift
Vacation
Personal
Sick
Weekend
National Holiday
N/A
Day 30
Work Shift
Vacation
Personal
Sick
Weekend
National Holiday
N/A
Day 31
Work Shift
Vacation
Personal
Sick
Weekend
National Holiday
N/A
Submit
Should be Empty: