Mr Apple Absence from Work If you are a human and are seeing this field, please leave it blank. Date Time Employee Name Shift AM PM Option 3 TXT Phone AWOL Message Who took the Message Time Has contact been made if AWOL Yes No Option 3 Response Who made contact Time Interviewer Time Reason for Absence Did you go to a doctor/hospital Yes No Are you taking any Medication Yes No What is the Medication Do you have a Medical Certificate Yes No Employee Signature Date Has this been entered into ROSA YesNo