Quality Care care assistants please use this form to request and/or inform us of any planned absences in future months. It greatly helps our planning if you tell us as soon as possible. Make sure you include your full name.
Name:
Phone Number:
The following absence dates are probable, certain.
I will be unavailable from: until: and from: until: and from: until:
Additional comments or queries:
Please note that this form is not for changes to availability information you have already sent us. For last minute changes to forms you have already sent us, or for the current month, you must inform us by phone.
