Personal/Sick Leave Form Name(Required) First Last Reason for Leave(Required)Personal and Sick LeaveVacation LeaveBegin Leave(Required) MM slash DD slash YYYY End Leave(Required) MM slash DD slash YYYY 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) MM slash DD slash YYYY End Leave(Required) MM slash DD slash YYYY 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 Jury Duty Bereavement Leave Other Other:(Required)Manager's Email (for your department head to approve/deny)(Required) Employee Email (your hbcguam.net email)(Required)
