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JWS Staff Online Forms
JWS Online Forms
JWS Staff Online Forms
Submit a ticket
Employee Absence Form
Submit a Support Request
Required fields are marked with
Name:
Email:
Priority:
Low
Medium
High
Subject:
Driver's/Employee's Name:
Terminal/Site/Location:
Date:
Time of Call:
Reason For Absence:
Cold/Flu
Headache
Upset Stomach
Accident @Work
Other Accident
Pre-existing Injury/Condition
Toothache
Stress/Mental Health
Compassionate Reason
Other
Other - Please give as much details as possible:
Accident at Work - Please give as much details as possible:
Shift Started?
Yes
No
If yes indicate Start Time:
Finish Time:
If the Call was received out of hours has the driver been informed to call his line manager during office hours?
Yes
No
FOR COMPLETION BY HR DEPARTMENT:
Number of Absences in the last 12 months (inc this occurrence):
Self-Certication sent to Employee on:
Sent out by (Enter HR Name):
Date entered on to the Portal:
Attachments:
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