Lumpkin College Executive Team Request for Absence Form

Lumpkin College Executive Team Request for Absence Form

Please complete this form each time an absence from duty occurs.

Name Name * First Last
Email *
Type of Leave *

Type of Leave Sick Leave Accrued Leave Bereavement Leave Court required service
Date(s) of requested leave: *

Do not report dates for more than any one month on a single form.
Number of hours absent
Comment (optional)