Fillable Printable 2015 Attendance Record Form
Fillable Printable 2015 Attendance Record Form
2015 Attendance Record Form
Employee Name Employee Number
Date of Hire: Last Date of Work:
Courtesy Pacific Employers 2015 Attendance Record
January
S M T W T F S
Days
1 2 3
4 5 6 7 8 9 10
11 12 13 14 15 16 17
18 19 20 21 22 23 24
25 26 27 28 29 30 31
Month Totals (Day/Code)
February
S M T W T F S
Days
1 2 3 4 5 6 7
8 9 10 11 12 13 14
15 16 17 18 19 20 21
22 23 24 25 26 27 28
Month Totals (Day/Code)
March
S M T W T F S
Days
1 2 3 4 5 6 7
8 9 10 11 12 13 14
15 16 17 18 19 20 21
22 23 24 25 26 27 28
29 30 31
Month Totals (Day/Code)
April
S M T W T F S
Days
1 2 3 4
5 6 7 8 9 10 11
12 13 14 15 16 17 18
19 20 21 22 23 24 25
26 27 28 29 30
Month Totals (Day/Code)
May
S M T W T F S
Days
1 2
3 4 5 6 7 8 9
10 11 12 13 14 15 16
17 18 19 20 21 22 23
24 25 26 27 28 29 30
31
Month Totals (Day/Code)
June
S M T W T F S
Days
1 2 3 4 5 6
7 8 9 10 11 12 13
14 15 16 17 18 19 20
21 22 23 24 25 26 27
28 29 30
Month Totals (Day/Code)
July
S M T W T F S
Days
1 2 3 4
5 6 7 8 9 10 11
12 13 14 15 16 17 18
19 20 21 22 23 24 25
26 27 28 29 30 31
Month Totals (Day/Code)
August
S M T W T F S
Days
1
2 3 4 5 6 7 8
9 10 11 12 13 14 15
16 17 18 19 20 21 22
23 24 25 26 27 28 29
30 31
Month Totals (Day/Code)
September
S M T W T F S
Days
1 2 3 4 5
6 7 8 9 10 11 12
13 14 15 16 17 18 19
20 21 22 23 24 25 26
27 28 29 30
Month Totals (Day/Code)
October
S M T W T F S
Days
1 2 3
4 5 6 7 8 9 10
11 12 13 14 15 16 17
18 19 20 21 22 23 24
25 26 27 28 29 30 31
Month Totals (Day/Code)
November
S M T W T F S
Days
1 2 3 4 5 6 7
8 9 10 11 12 13 14
15 16 17 18 19 20 21
22 23 24 25 26 27 28
29 30
Month Totals (Day/Code)
December
S M T W T F S
Days
1 2 3 4 5
6 7 8 9 10 11 12
13 14 15 16 17 18 19
20 21 22 23 24 25 26
27 28 29 30 31
Month Totals (Day/Code)
CODES: A Absence Unexcused
B Birthday
CD Company Doctor
D Doctor Appointment
DL Disability Leave
E Excused Absence
F Funeral
FS Family Sick
FH Floating Holiday
H Holiday
I Injury on the Job
J Jury Duty
LA Leave of Absence
LE Left Early
LO Lay Off
ML Military Leave
PL Personal Leave
S Sickness
SL Sick Leave
T Tardy
Attendance Record 2015.wpd
