Do not use this form if you are reporting an absence for same day or 1st shift the following day.  Please call 800-249-6161 and follow the prompts or complete the Call-Off Form.
Are you requesting time off today or tomorrow? *

Section 6311 of title 5, United States Code authorizes collection of this information. The primary use of this information is by management and the payroll department to approve and record your use of leave. Additional disclosures of the information may be: to the Department of Labor when processing claim for your compensation regarding a job connected injury or illness; to a Federal, state of local law enforcement agency when your agency becomes aware of a violation or possible violation of civil or criminal law; to a Federal Accounting Office when the information is required for evaluation of leave administration; or the General Service Administration in connection with its responsibilities for records management.