Request for Fractional Absence

Staff members who wish to leave early during the school day must fill out this form and have it signed by the principal at least 24 hours in advance.

Staff members are responsible for tracking their own CAR time and attendance. Please note that if the time is less than three hours and twenty minutes (3:20) time will not be subtracted from your CAR balance. However, time in excess of 3:20 results in a deduction of CAR. The following displays the rates at which deductions will occur as it relates to the total amount of time that is entered within the school year:

Time	Deduction
Under 3:20	No Deduction
3:20 to 9:19 hours	One CAR Day
9:20 to 15:19 hours	Two CAR Days
15:20 to 21:19 hours	Three CAR Days
21:20 to 27:19 hours	Four CAR Days
27:20 to 33:19 hours	Five CAR Days
33:20 to 39:19 hours	Six CAR Days
39:20 to 45:19 hours	Seven CAR Days

Name*

Answer required for "Name"

Department*

Answer required for "Department"

I am requesting the following date(s) as a fractional absence*

Answer required for "I am requesting the following date(s) as a fractional absence"

Please indicate the time you are requesting to leave*

Answer required for "Please indicate the time you are requesting to leave"

Please indicate the reason for your request*

Answer required for "Please indicate the reason for your request"

Classes to be covered*

Answer required for "Classes to be covered"

Signature*

Signature Required

Principal's Signature: ________________________________________________

	Approved
	Not Approved

Please fix the highlighted areas below before submitting.

Request for Fractional Absence

Accessibility Statement