ࡱ> bday /bjbj 4f{{ 4   8D< jooo+------$ @QooQfCCCF+C+CCCPK_=C|0C!wT!C!Co0"CoooQQxooo!ooooooooo : Employee Absence Report Employee Name (Type or Print): Date Filled:Dates of Absence:Certificated (Classified (Position / Classification: Site / Location: Code LetterType of AbsenceNumber of HoursBBereavement (Enter Relationship) Relationship: BTTravel Connected With Bereavement LeaveCBChild Birth PaternityDKTPersonal Full Salary Deducted (Explain in the Space Below) Explanation: EEmergency (Explain Reasons in the Space Below) Explanation: FHFloating HolidayFMLAFamily Medical Leave Act: ( Employee ( Qualifying Immediate Family Member: IDImminent Death (Explain Reasons in the Space Below) Explanation: JURYJury Duty: ( City/County ( FederalMILDuty With Armed Forces (Present Copy of Orders)PNUse of Sick Leave for Compelling Personal Importance (Enter Hours Against One of the Following Reasons):(1. Death involving the immediate family, other relatives, or close friends.2. Accident involving the immediate family, other relatives, or close friends.3. Illness involving the immediate family, other relatives, or close friends.4. Accident involving personal property of the employee, the immediate family, other relatives, or close friends.5. Inability to get to assigned place of duty because of circumstances beyond control.6. Appearance in court.7. SEIU, CSA, Teamsters: Attendance at weddings, anniversaries, reunions, funerals, and high school and college gradua-tions honoring members of the employees immediate family and may not be taken for religious observances. Religious observances leaves shall be granted to probationary and permanent employees with part pay for not more than three days in any school year for the observance of religious holidays. SCTA: Attend religious observances or weddings, ceremonies, or traditional observances honoring the employee or members of the employees immediate family. UPE:Grant up to three work days in any fiscal year for the observance of religious holidays, and such absences of compelling personal importance shall be charged to the employees accrued sick leave or credit.8. Attending to Legal or Business Matters of Compelling Personal Importance9. Taking Examinations Related to Advanced Training Which Cannot be Scheduled During Off-Duty Hours (Attach to This Form Written Evidence of Requirement)SICKEmployee Illness (Include Appointments With Doctors Connected With Illness)SLIAIndustrial Accident and InjurySUPSubpoenaVACVacationX( Union Absence ( District Meeting, etc. (District Business)Note to Employees: Please ensure all explanations are completely filled out and required documentation is attached. Failure to do so will result in the absence being considered as unauthorized, and pay will be docked.Signature:      12/09/12; Rev. C PSL-F012 Page 1 of 1 679EFWXefhwxz źЯЯЖ}k`UJ>U`h@Yh:>*CJaJh@Yh`fCJaJh@Yh:CJaJh@Yh:CJaJ#h@Yh{K5B*CJ\aJphh@YhZDCJaJ jh@Yhi4CJaJh@Yhi4CJaJ jh@Yh&]CJaJh@Yh&]CJaJh@YhQ'CJaJh@YhR/CJaJh@YhtCJaJ#h`fhp5B*CJ \aJ ph#h`fh5B*CJ \aJ ph89FXgwiiZ $Ifgd@Y$$Ifa$gd@Yqkd$$Ifl*+ t0644 lap yt@Y $Ifgd@Y $xa$gdb{ghijkly^PPPPA $Ifgd@Y$$Ifa$gd@Ykd$$IflF * 0 t06    44 lapyt@Yyz.! $Ifgd@YkdL$$Iflr *0 t0644 lap2yt@Y $Ifgd@YqkdO$$Ifl*+ t0644 lap yt@Y $$Ifa$gd@Yqkd$$Ifl*+ t0644 lap ytb{  ^RIR $Ifgd`f $$Ifa$gd@Ykdy$$IflF4#* t06    44 lapytb{   : ; ^RIR $IfgdV`K $$Ifa$gd@YkdD$$IflF4#* t06    44 lapyt@Y   9 < ? Y ] {    ) * R U c d ƻƻƻƻrgYgYgƻ jh@YhpCJaJh@YhpCJaJ#h@Yhp5B*CJ\aJphh@YhWMCJaJh@Yh,CJaJh@YhFJCJaJh@YhFJCJaJh@Yh#^CJaJh@Yh#^CJaJ#h@Yh#^5B*CJ\aJphh@Yh:CJaJ#h@Yh{K5B*CJ\aJphh@Yh{KCJaJ; < ? W X ^RIR $IfgdV`K $$Ifa$gd@Ykd$$IflF4#* t06    44 lapyt@YX Y ] ^RIR $IfgdV`K $$Ifa$gd@Ykd$$IflF4#* t06    44 lapyt@Y ^RIR $IfgdV`K $$Ifa$gd@Ykd{$$IflF4#* t06    44 lapyt@Y ^RIR $IfgdV`K $$Ifa$gd@Ykd8$$IflF4#* t06    44 lapyt@Y  P Q ^RIR $IfgdV`K $$Ifa$gd@Ykd$$IflF4#* t06    44 lapyt@YQ R U ^RIR $IfgdV`K $$Ifa$gd@Ykd$$IflF4#* t06    44 lapyt@Y 1 2 e f g h i r s 긭ꗌ~sh`h`h`h`h`h`h`h`hhj)CJaJh,h,CJaJh@Yh#^CJ aJ  jh@YhT8CJ aJ h@Yh#^CJaJh@Yh|CJaJh@Yh{KCJaJh@Yh:CJaJ#h@Yh{K5B*CJ\aJph jh@Yh#^CJaJ#h@Yh#^5B*CJ\aJphh@Yh#^CJaJh@YhWMCJaJ$ ^RIR $IfgdV`K $$Ifa$gd@Ykdo $$IflF4#* t06    44 lapyt@Y ^RIR $IfgdV`K $$Ifa$gd@Ykd, $$IflF4#* t06    44 lapyt@Y f h ^RIR $IfgdV`K $$Ifa$gd@Ykd $$IflF4#* t06    44 lapyt@Yh i I<0 $$Ifa$gdV`K $IfgdV`Kkd $$IflF4#*  t06    44 lapyt@Y        ! " + , 3 4 9 : G H M N T U V W X d e n o w x       ! " # $ % 6 7 hj)CJaJh,h,CJaJ h,5CJ h,CJX   zn $$Ifa$gdV`K $IfgdV`Kxkd $$Ifl40#*H$064 laf4  V W zn $$Ifa$gdV`K $IfgdV`KxkdL $$Ifl40#*H$064 laf4W X rf $$Ifa$gdV`K ($If^`(gdV`Kxkd $$Ifl40#*H$064 laf4 # $ rf $$Ifa$gdV`K ($If^`(gdV`Kxkd$$Ifl40#*H$064 laf4$ % = > zn $$Ifa$gdV`K $IfgdV`Kxkd5$$Ifl40#*H$064 laf47 ; < = > ? B V X f g p LMz}LMNO789>O̼̰v#h@Yh{K5B*CJ\aJphh@Yh#^CJaJh@Yh#^CJaJ#h@Yh#^5B*CJ\aJphh`fh`f>*CJaJh]CJaJh`fCJaJhV`KCJaJhV`KhV`K>*CJaJ h,5CJ h,CJhj)CJaJh,h,CJaJ-> ? MNrf $$Ifa$gdV`K ($If^`(gd]xkd$$Ifl40#*H$064 laf4NOzn $$Ifa$gdV`K $IfgdV`Kxkd{$$Ifl40#*H$064 laf478rf $$Ifa$gdV`K ($If^`(gdV`Kxkd$$Ifl40#*H$064 laf489>{r{ $IfgdV`K $$Ifa$gd@Yxkd$$Ifl40#*H$064 laf4^RIR $IfgdV`K $$Ifa$gd@Ykdd$$IflF4#* t06    44 lapyt@Y"OQƸwweZVNJNJhP?jhP?Uh,h@YhWMCJaJ#h@YhWM5B*CJ\aJphh@Yh#"6CJ]aJh@YhWM6CJ]aJh@YhWM6>*CJ]aJh@YhLGCJaJh@YhpCJaJ jh@YhpCJaJ#h@Yhp5B*CJ\aJph#h@Yh{K5B*CJ\aJphh@Yh{KCJaJh@Yh:CJaJ^RIR $IfgdV`K $$Ifa$gd@Ykd/$$IflF4#* t06    44 lapyt@Y^RIR $IfgdV`K $$Ifa$gd@Ykd$$IflF4#* t06    44 lapyt@Y^RIR $IfgdV`K $$Ifa$gd@Ykd$$IflF4#* t06    44 lapyt@Y^R $$Ifa$gd@Ykdf$$IflF4#* t06    44 lapyt@Y <<$Ifgd@Yqkd#$$Ifl*+ t0644 lap yt@Y,-.xsgdWM 0*<gdpSdgdWMqkd$$Ifl*+ t0644 lap yt@Y    ,-./h,hG$w hG$wCJ h CJhP?jhP?U./dgdWM2&P:p{Q/ =!"#@$% $$If!vh#v+:V l t065+p yt@Y$$If!vh#v #v0#v :V l t065 505 / pyt@Y$$If!vh#v#v0#v :V l t065505 /  / / / p2yt@Y$$If!vh#v+:V l t065+/ p yt@Y$$If!vh#v+:V l t065+/ p ytb{$$If!vh#v#v#v:V l t06,555/ pytb{$$If!vh#v#v#v:V l t06,555pyt@Y$$If!vh#v#v#v:V l t06,555pyt@Y$$If!vh#v#v#v:V l t06,555pyt@Y$$If!vh#v#v#v:V l t06,555pyt@Y$$If!vh#v#v#v:V l t06,555pyt@Y$$If!vh#v#v#v:V l t06,555pyt@Y$$If!vh#v#v#v:V l t06,555pyt@Y$$If!vh#v#v#v:V l t06,555pyt@Y$$If!vh#v#v#v:V l t06,555pyt@Y$$If!vh#v#v#v:V l t06,555/ pyt@Y$$If!vh#v#v#v:V l  t06,555pyt@Y$$If!vh#vH$#v:V l406,5H$5/ / 4f4$$If!vh#vH$#v:V l406,5H$5/ 4f4$$If!vh#vH$#v:V l406,5H$5/ 4f4$$If!vh#vH$#v:V l406,5H$5/ 4f4$$If!vh#vH$#v:V l406,5H$5/ 4f4$$If!vh#vH$#v:V l406,5H$5/ 4f4$$If!vh#vH$#v:V l406,5H$5/ 4f4$$If!vh#vH$#v:V l406,5H$5/ 4f4$$If!vh#vH$#v:V l406,5H$5/ 4f4$$If!vh#v#v#v:V l t06,555/ pyt@Y$$If!vh#v#v#v:V l t06,555pyt@Y$$If!vh#v#v#v:V l t06,555pyt@Y$$If!vh#v#v#v:V l t06,555pyt@Y$$If!vh#v#v#v:V l t06,555pyt@Y$$If!vh#v+:V l t065+p yt@Y$$If!vh#v+:V l t065+p yt@Y^ 666666666vvvvvvvvv666666>6666666666666666666666666666666666666666666666666hH6666666666666666666666666666666666666666666666666666666666666666662 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~_HmH nH sH tH <`< NormalCJ_HmH sH tH DA D Default Paragraph FontVi@V  Table Normal :V 44 la (k (No List H@H  Balloon TextCJOJQJ^JaJ44 E;Header  !4 @4 E;Footer  !j#j Q' Table Grid7:V0PK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭V$ !)O^rC$y@/yH*񄴽)޵߻UDb`}"qۋJחX^)I`nEp)liV[]1M<OP6r=zgbIguSebORD۫qu gZo~ٺlAplxpT0+[}`jzAV2Fi@qv֬5\|ʜ̭NleXdsjcs7f W+Ն7`g ȘJj|h(KD- dXiJ؇(x$( :;˹! I_TS 1?E??ZBΪmU/?~xY'y5g&΋/ɋ>GMGeD3Vq%'#q$8K)fw9:ĵ x}rxwr:\TZaG*y8IjbRc|XŻǿI u3KGnD1NIBs RuK>V.EL+M2#'fi ~V vl{u8zH *:(W☕ ~JTe\O*tHGHY}KNP*ݾ˦TѼ9/#A7qZ$*c?qUnwN%Oi4 =3N)cbJ uV4(Tn 7_?m-ٛ{UBwznʜ"Z xJZp; {/<P;,)''KQk5qpN8KGbe Sd̛\17 pa>SR! 3K4'+rzQ TTIIvt]Kc⫲K#v5+|D~O@%\w_nN[L9KqgVhn R!y+Un;*&/HrT >>\ t=.Tġ S; Z~!P9giCڧ!# B,;X=ۻ,I2UWV9$lk=Aj;{AP79|s*Y;̠[MCۿhf]o{oY=1kyVV5E8Vk+֜\80X4D)!!?*|fv u"xA@T_q64)kڬuV7 t '%;i9s9x,ڎ-45xd8?ǘd/Y|t &LILJ`& -Gt/PK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-![Content_Types].xmlPK-!֧6 0_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!0C)theme/theme/theme1.xmlPK-! ѐ' theme/theme/_rels/themeManager.xml.relsPK] / f 3336 7 / $*1gy ; X Q h  W $ > N8./  !"#%&'()+,-./028@0(  B S  ?EEE 0  0 9*urn:schemas-microsoft-com:office:smarttagsplace?*urn:schemas-microsoft-com:office:smarttags stockticker 8      - 0 iUX%<=M$.C \     - 0 333333333iiBXL9 9      % & * + 0 iiBXL9 9           0 /.: fH #"j)z*,.x0V`K{KWM{Q@Y]&]#^`ft<8vG$w2E;}DL#:EtZDDkP?T8b{FJ pSLGQ'6R/D!|"Npi4} @@{/ @UnknownG* Times New Roman5Symbol3. * Arial;Wingdings5. *aTahomaA$BCambria Math"hj&rkJ"W W !24 i3QHX?<8v2!xx  JHOWESCUSDOh+'0l   ( 4 @LT\d JHOWE Normal.dotmSCUSD34Microsoft Office Word@@P֠@Fc@0L=W ՜.+,0 hp  SCUSD   Title  !"#$%&'()*+,-./012356789:;<=>?ABCDEFGHIJKLMNOPRSTUVWXZ[\]^_`cRoot Entry F@w_=eData 411Table@!WordDocument4fSummaryInformation(QDocumentSummaryInformation8YCompObjr  F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q