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Absence Request Form

This is a form to request planned absence OR to register sick leave after the event. 4 weeks notice must be given for paid holiday. The absence is not confirmed until you have received an approved copy. Adequate cover must be considered before submitting this form. Please consult other staff and any records of absence booked. As a rule, none of the following should be off on the same day. No two Optometric Assistants, No two Dispensing Opticians / Trainees, No two employed Optometrists / Pre Regs. All holiday must be taken, with the correct notice and approval, within the Holiday Year, or it will be lost. Exceptional circumstances will be considered, at the Director’s discretion.

    Absence Year*

    Your Name*

    Your Email Address or Mobile For Reply

    What Are You Requesting?*

    Details

    Comments

    From*

    To*

    Total Hours Requested*

    Date of Your Return to Work*

    Any Other Details