Richard Allen Preparatory - Attendance Request

Attendance Request

Please Fill Out The Attendance Request Below

First Name:

Last Name:

Type of Leave:

Number of Days Requested

Date Leave/Absence Begins

Date of Return to Work

Please complete the below area only if you are requesting bereavement.

Name of Family Member:

Relationship:

Date and Time of Burial

Please provide any additional information:

Certification: The above information is true to the best of my knowledge.

Reaquired field: I agree

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Required Fields