Absence Request Form

The Absence Request Form is available below free to download and print.


This form can be used to record absences for paid employees in your church and keep in the employee's file for future purposes.

The church employee can use this form for requesting a formal leave of absence or for even requesting an extension to their existing leave of absence.



The Absence Employee Report below can be used to track church employee's absences and includes:

  • Employee's Name
  • Employee's ID Number
  • Employee's Department
  • Employee's Manager
  • Type of Absence (Sick, Vacation, Bereavement, Time Off Without Pay, Military, Jury Duty, Maternity/Paternity, Other)
  • Dates of Absence
  • Reason for Absence
  • Note: "You must submit requests for absences, other than sick leave, two days prior to the first day you will be absent."
  • Employee's Signature and Date
  • Manager's Approval or Rejection
  • Manager's Comments
  • Manager's Signature and Date

The key principles of managing your employee's sicknesses or absences is to keep accurate records of these occurrences. These employee absences must be approved from their manager if possible and monitored on a regular basis.

In some cases in which the employee might have a leave absence from a hospital stay, surgery, etc. the supervisor or manager would need to receive a release to go back to work from the employee's doctor that was treating at the time of absence and the employee would have to present it to the Human Resources Department before they returned to work.

Most of the sicknesses that require a day or two off does not require a physician to release them back to work. These releases are a requirement from employees who have had a problem or sickness in which they could not do their physical duties and work at the time of absence.

Click on the link to download the Absence Report below:

Absence HR Request Form


If you need to modify this form, try the site: Free PDF Services. You can convert this Adobe file into a Word document free of charge and make the necessary changes.

Note: You will need Adobe Reader (the latest version is recommended) installed on your computer in order to save or open these forms.

You can get Adobe Reader free here (a new window will open so you can download it without leaving this page).

If you want to open the file in your browser window, just click on one of the links above. However, if you want to download the file to view later, then right-click on the link and choose "Save Target As" or "Save File As". Then select where you want to save the file on your hard drive.


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