Report Absence

Please note this must be completed prior to 7.30am everyday.

Name*
First Last
Email
Job Role*
Department*
Line Manager*
What are you reporting?*
Date of first day of absence*
DD slash MM slash YYYY
Reason for absence*
Reason*
Are you well enough to set work?*
- Yes
- No
If you are unable to set work, you must inform your Head of Department.
Do you have a duty to cover today?*
- Yes
- No
Please provide details of your duty/duties
Have you informed your line manager?*
- Yes
- No
Is this absence work related?*
- Yes
- No
Please provide details of work related absence
Do you know your expected return to work date?*
What date will you return to work?
DD slash MM slash YYYY
Do you have a Doctor's Note?*
File
Max. file size: 1 GB.
Upload above, if available, any supporting documents or images e.g. Doctor's note, photo of damage, screen-grab of public transport delay etc.
Additional Information
Please note: When returning to work you must report to Katy Blakemore and complete a 'Return to Work' form with your line manager.
I understand that when returning to work prior to recommencing my duties and I must complete a 'Return to Work' form with my line manager.*
- I Agree