Staff Absence Form Please enable JavaScript in your browser to complete this form.Name *Date completed: *Dates(s) of absence: *If caring for dependant – your expected date back to work (if known):If yourself – your expected date back to work (if known):Reasons for Absence - General SicknessReasons for Absence - Possible Covid Symptoms (Self)FeverLoss of Taste/SmellCoughOther InformationReasons for Absence - Possible Covid Symptoms (Family Member)FeverLoss of Taste/SmellCoughOther InformationTest Needed? *YesNoBooked self-test? *YesNoDate of self-test (If Applicable)Booked school test? *YesNoDate of school test (If Applicable)Test ResultsPositiveNegativeDate of Test ResultSubmit