The School District of Philadelphia

Payroll Absence Code Adjustment Request

(Multiple Employees)

Date: _________________

Requesting School/Department: ______________________________ Telephone #: _____________________

Employee Name (Last, First)	Employee ID #	Employee Position/Title	Date of Absence	Incorrect Code Applied to Payroll	Correct Code to be Applied to Payroll

*Please be sure to include units in H or F with each code.

Log onto www.philasd.org for a complete list of absence codes.

Go to “Employees”

“Payroll Department”

“Payroll Entry”

“Absence Codes”

http://webgui.phila.k12.pa.us/offices/p/payroll/payroll-entry/absence-codes

Authorization: _____________________________________________

(Principal/Administrator)