Notification of Absence Form - NHSGGC



Notification of Absence FormPart 1 – Initial Contact Employee nameInitial details of absence taken byDate and time of callDetails and reasons for reported absence Employee informed that ward Manager/SCN/Line Manager will call back same day if appropriateYes/NoPart 2 –To be completed by Ward Manager/SCN/Line ManagerReason for AbsenceHow long is absence likely to lastDetails of any GP appointmentsDate agreed when employee is to contact manager with an update on illness and return to work Employee informed Return to Work interview will be conducted on return to workDates of previous absence in 12 month rolling periodNumber of DaysNumber of episodesAttendance management policy trigger ReachedYes / NoHR advice sought?Yes/NoCurrent live disciplinary warning on fileYes / NoDatesAbsence Reason Code recorded on SSTSPart 3 – Follow up contactTo be completed by Ward Manager /SCN/Line ManagerDateDetailHow long is absence likely to continueGP Appointment?Agreed date of next contact by employee to line managerDateDetailHow long is absence likely to continueGP Appointment?Agreed date of next contact by employee to line manager ................
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