School/Service Month ending ………………………………………………………………………………….. …………………… * The following member(s) of staff have been absent in the month / * I confirm there has been no absence in the month (* delete as appropriate) Use this form to record absence types: S001 Sickness A290 Emergency Leave A310 Dependants Leave A250 Bereavement Leave A320 Public Duty (Paid) A470 Reserve Forces (Paid) A240 Study Leave (Paid) A650 Study Leave (Unpaid) 1 2 3 4 5 6 7 8 9 Payroll Use Only Continuation of Absence Sickness 1st day of Last day of Date returned S.C or Name Pers.No. absence last Notes – Type code absence absence to work M.C. day reported To be completed by Head of Unit or Unit Manager/Administrator:- Name) Date: ……………. ………………………………………………. ………………………………… For further information on absence please go to: http://www.ncl.ac.uk/hr/ leave/sickness.php Payroll Section Input by: Date: Checked by: Date: …………………………………….. …. …………………. ………………………………………… …………….…
School/Service ………………………………………………………………………………….. Month ending …………………… * The following member(s) of staff have been absent in the month / * I confirm there has been no absence in the month (* delete as appropriate) Use this form to record absence types: S001 Sickness A290 Emergency Leave A310 Dependants Leave A250 Bereavement Leave A320 Public Duty (Paid) A470 Reserve Forces (Paid) A240 Study Leave (Paid) A650 Study Leave (Unpaid) 1 2 3 4 5 6 7 8 9 Payroll Use Only Name Pers.No. Absence Type Sickness code Continuation of absence – last day reported 1st day of absence Last day of absence Date returned to work S.C or M.C. Notes To be completed by Head of Unit or Unit Manager/Administrator:- ……………. ………………………………………………. Name) Date: ………………………………… For further information on absence please go to: http://www.ncl.ac.uk/hr/ leave/sickness.php Payroll Section Input by: …………………………………….. …. Date: …………………. Checked by: ………………………………………… Date: …………….…