Please complete this form:   Name, GMR/PSI Employee or Contractor, Clock Number, Telephone Number, E-mail, Reason for Absence, and if you anticipate being absent the next day, plus any additional information you would like to communicate.

By selecting the Department you report to, your foreman/leaderman and the Human Resources Dept will receive an e-mail notification that you will be absent or late.   You must complete and submit for each day you will be absent (unless you are on vacation, or have made other arrangements with the HR Dept).

Today's Date*
Today's Date
Employee or Contractor?*
Name*
Name
Clock Number
Your E-mail
Phone Number
Department*
What department do you report to?
Choose one
Please let us know if you believe you will be out for more than one day.
Please include any additional comments here.
This field is for validation purposes and should be left unchanged.

Thank You.