Host Organisation Absence Report Please send the completed form to [email protected] by the 6th of the month Host Trust or Please select Trust Link to Annual Leave Policy 09 March 2016 Link to Sickness Leave and Attendance Management Policy Return to Work Interviews must be completed for each occurrence of absence and the completed form needs to be submitted to the email address above. OR We're here to help. Should you wish to discuss Absence Procedures or need advice, please contact the Absence Team on 0161 604 5847 GP Surgery If your location is not listed above, please click here: Please select Month & Year Select month Select Month AND Add me - Location to be added to Absence Form SelectSelect Year Year Completed by GMC no Specialty Grade Surname First Name Absence Type Sickness Reason Absence Start Date Absence End Date (DD/MM/YY) (DD/MM/YY) Duration Return to work OccHealth in Days form completed Referral (Calculated as Calendar days) and sent? needed? Attendance Management required? 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