Personal/Sick Leave Form Name(Required) First Last Reason for Leave(Required)Personal and Sick LeaveVacation LeaveJury DutyBegin Leave(Required) End Leave(Required) Number of Work Days Missed(Required)1/212345678910111213141516171819202122232425Other (please specify below)Time Leaving(Required) Hours : Minutes AM PM AM/PM Specify Number of Work Days Missed(Required)Type of Absence(Required) Personal Day (2 working days) Emergency/Bereavement (5 working days) No call/no show Sick Day (3 working days) Medical Appointment Other: ____________________________ Other Reason(Required)Appointment Time(Required) Hours : Minutes AM PM AM/PM Begin Leave(Required) End Leave(Required) Number of Work Days Missed(Required)1/212345678910111213141516171819202122232425Other (please specify below)Time Leaving(Required) Hours : Minutes AM PM AM/PM Specify Number of Work Days Missed(Required)Type of Leave(Required) Vacation Bereavement Leave Other Other:(Required)Manager's Email (for your department head to approve/deny)(Required) Employee Email (your hbcguam.net email)(Required)
