Absentee Report
Fort Caroline Baptist Church
Today's Date*
Month Day Year
Date
Employee Name*
Absent From*
Month Day Year
Date
Absent To*
Month Day Year
Date
Return to Work*
Month Day Year
Date
With Permission*
Yes No
Total Number of Hours*

Reason (check Type & indicate Number of Hours)*

	X	Number of Hours
Vacation
Illness
Personal Business
Doctor's Appointment
Family Medical Leave
Accident
Worker's Comp. Injury
Ministry Related (note below)
Bereavement Leave (note family member below)

Other notes or further explanation
Pay for time out?*
Yes No
Is time to be made up? (Must be in same work period/submit timesheet.)*
Yes No
Reported by*
Approved by
Clear
Should be Empty: