Absence and Appointment Request Form

What is an Absence and Appointment Form?

An Absence and Appointment Form is a document used by employees to formally request time off from work for personal, medical, or professional reasons.

This form allows employees to:

Request leave for planned absences, such as holidays or personal events.
Notify management about appointments requiring time away from work (e.g., medical, legal, or personal appointments).

Why is it Important?
Submitting this form ensures clear communication with management, helps plan work schedules effectively, and ensures compliance with company policies. Requests must be submitted at least 48 hours in advance to allow sufficient time for approval and planning.

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Name

First

Last

DOB

Telephone Number

Type of Request:

Absence
Appointment

Was this absence requested at least 48 hours in advance?

Please note that if the absence was requested with less than 48 hours' notice, it may be treated as unauthorised absence, depending on the circumstances. Unauthorised absences are considered a serious matter, as they can disrupt workflow and team schedules. Additionally, please be reminded that accumulating three unauthorised absences will result in the issuance of a P45, which signifies the termination of employment. If you have any extenuating circumstances, you must inform your manager as soon as possible to avoid any misunderstandings.kboxes

I conffirm

By ticking this box, you confirm that you have read, understood, and agree to the information provided above. This will be treated as your digital signature.

Do you have proof of your appointment for evidence?

Note: We may request evidence or supporting documents, such as appointment confirmations, emails, or letters, to verify your request. Please ensure you can provide these promptly if contacted.

Date(s) of Absence/Appointment:

Date format DD/MM/YYYY

Reason

Text area for workers to explain the reason for their absence or appointment)

Agreement Clause: I confirm that all the information provided is accurate and complete to the best of my knowledge, and I agree to abide by the company's policies regarding absence and appointments.

I confirm

By ticking this box, you confirm that you have read, understood, and agree to the information provided above. This will be treated as your digital signature.

Enter Your Full Name (First Name and Surname) Include a statement that all submissions are subject to review and approval by management.

Date

Date format DD/MM/YYYY

Absence and Appointment Request Form

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