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MMS Leave/Absence Form
Please be sure you complete this form at least one week prior to your absence
Please fill out your sick leave documentation no later than 2 DAYS upon your return
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* Indicates required question
Email
*
Your email
Name
*
Your answer
Date
*
MM
/
DD
/
YYYY
*
**Personal Illness (requires doctor's statement if more than 3 consecutive days)
**Illness in the family (requires doctor's statement if more than 3 consecutive days)
Doctor's Appointment
Death in the Family
Personal business - always docked
Extended Leave - FMLA
Personal Leave
Legal Leave (must submit verification, subpoena, etc)
Military Leave (15 days max except during conflict)
School Business - on instructional day
School Business - on noninstructional day
Workers Compensation Leave
Is a substitute needed?
*
YES
NO
By submitting "Agree", I understand that my supervisor is to view and sign this form and that I must submit any needed supporting documents. Please refer to board policy GCC/GDC Staff Leave and Absences
*
Agree
Required
DISTRICT OFFICE USE: SUB NAME/DATES
Your answer
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