Absence Request Type

Request Typefield type radio button
Request TypeBereavementJury Duty

Employee Information

To proceed with your request for Bereavement Leave, please enter your TEAMS/Frontline Employee ID (used for clocking in/out and copier functions)

TEAMS/Frontline Employee ID*field type single line
Input blocked. Maximum character limit of 4000 characters reached.

Bereavement Leave Information

According to Forney ISD Board Policy DEC (Local), On the occasion of a death in an employee’s immediate family as defined by the policy, the District shall grant up to two days of bereavement leave without loss of pay.
The term “immediate family” is defined as:
1. Spouse.
2. Son or daughter, including a biological, adopted, or foster child, a son- or daughter-in-law, a stepchild, a legal ward, or a child for whom the employee stands in loco parentis.
3. Parent, stepparent, parent-in-law, or other individual who stands in loco parentis to the employee.
4. Sibling, step-sibling, and sibling-in-law.
5. Grandparent and grandchild.
6. Any person residing in the employee’s household at the time of illness or death.
After you submit your request, it will be routed to HR for approval. You will receive approval results via email.

Jury Duty Information

The district provides paid leave to employees who are summoned to jury duty. Employees who report to the court for jury duty may keep any compensation the court provides. An employee should report a summons for jury duty to his or her supervisor as soon as it is received and may be required to provide the district a copy of the summons to document the need for leave.
An employee may be required to report back to work as soon as they are released from jury duty. The supervisor may consider the travel time required and the nature of the individual’s position when determining the need to report to work. A copy of the release from jury duty or of documentation of time spent at the court may be required.

Employee Info

This information will populate from your Employee ID, entered on the previous page.

	Employee IDfield type single line	First Namefield type single line	Last Namefield type single line	Emailfield type single line	Date of Birthfield type date
row 1	Employee IDfield type single line Input blocked. Maximum character limit of 4000 characters reached.	First Namefield type single line Input blocked. Maximum character limit of 4000 characters reached.	Last Namefield type single line Input blocked. Maximum character limit of 4000 characters reached.	Emailfield type single line Input blocked. Maximum character limit of 4000 characters reached.	Date of Birthfield type date

Bereavement Request Information

Name*field type single line
Please enter the name of the person about whom you are requesting this leave
Input blocked. Maximum character limit of 4000 characters reached.
Relationship*field type single line
What is the relationship of this person to you?
Input blocked. Maximum character limit of 4000 characters reached.
Number of work days missed*field type radio button
While your circumstances may result in additional days missed, up to 2 days can be covered by bereavement leave
Number of work days missed12
First absence date*field type date
Second absence date*field type date

Jury Duty Request Information

Absence Start Datefield type date
Absence End Datefield type date
Documentation*field type file upload
Please attach a copy of your release from jury duty, or other documentation showing time spent at court.

Acceptance and Digital Signature

I authorize Forney ISD to accept all correspondence transmitted by me via electronic means. In addition, I certify that all communication sent from this transaction shall be upon my electronic signature and acceptable as replacement for my written signature. I understand that the electronic signature may not be denied legal effect or enforceability solely because it is in electronic form. By clicking "Accept" below I am certifying that I have read, understand, and agree to the conditions as stated and further agree to conduct business with use of an electronic signature (typed/keypunch name in designated areas). I have read and understand in full the information contained in this document. By entering my name, checking the box, and clicking the submit button below, I am providing my electronic signature which indicates my confirmation of agreement to the above terms and that all submitted information is accurate and true.

Signature

	Accept*field type checkbox	First & Last Name*field type single line	Datefield type date	Date of Birth*field type date
row 1	Accept*field type checkbox AcceptAccept	First & Last Name*field type single line Input blocked. Maximum character limit of 4000 characters reached.	Datefield type date	Date of Birth*field type date

*Invalid Date of Birth*
Forney ISD is an Equal Opportunity Employer and does not discriminate on the basis of race, color, national origin, gender, disability, sexual orientation, or age in its programs and activities.

On-Boarding Information

Hidden Fields

Info

	IDfield type single line	First Namefield type single line	Last Namefield type single line	Emailfield type single line	Date of Birthfield type date	Typefield type single line
row 1	IDfield type single line Input blocked. Maximum character limit of 4000 characters reached.	First Namefield type single line Input blocked. Maximum character limit of 4000 characters reached.	Last Namefield type single line Input blocked. Maximum character limit of 4000 characters reached.	Emailfield type single line Input blocked. Maximum character limit of 4000 characters reached.	Date of Birthfield type date	Typefield type single line Input blocked. Maximum character limit of 4000 characters reached.

ID Typefield type single line
Input blocked. Maximum character limit of 4000 characters reached.
IDfield type single line
Input blocked. Maximum character limit of 4000 characters reached.
Current Stepfield type single line
Input blocked. Maximum character limit of 4000 characters reached.
Document Typefield type single line
Input blocked. Maximum character limit of 4000 characters reached.
Document Descriptionfield type single line
Input blocked. Maximum character limit of 4000 characters reached.
Form Submitted

Special Leave Request Form