HomeMy WebLinkAboutItem 6.2 - Written Communications - Request for Excused Absence - NavaREQUEST FOR EXCUSED ABSENCE
City of Chula Vista Boards, Commissions, and Committees
Name: �GUi I r_�l NCL au, Date of Absence: F6-) q 12d,-2-�--
Board/Commission/Committee:
Chula Vista Municipal Code section 2.25.110 (C) allows board/commission/committee members, by a
majority vote, to excuse a fellow board, commission, or committee member's absence from a meeting for any
of the reasons listed below. A member who is absent from three consecutive, regular meetings will be
deemed to have vacated his or her membership, unless the member's absence is excused by a
majority vote of the other members. An absence is only recorded as "excused" upon receipt of a member's
request and majority vote of the board/commission/committee to excuse the absence. Accordingly, if you
have been absent from a regular meeting, please complete and submitthis form to the chair or secretary.
Please indicate the reason for the absence:
❑ 11. Illness of the member, family member of the member, or personal friend of the member;
V 2. Business commitment of the member that interferes with the attendance ofthe member at a meeting;
❑ 3. Previously scheduled vacation of the member, notice of which was provided to the respective board
or commission in advance of the meeting;
0 4. Attendance of the member at a funeral, religious service or ceremony, wedding, or other similarly
significant event;
❑ 5. Unexpected, emergency situation that prohibits the member's attendance; or
0 6. Other reason for which the member has given notice to the secretary of his or her unavailability at
least seven days in advance of the meeting.
OR
❑ The absence was not for any of the above -listed reasons. I understand that the absence will be recorded
as unexcused.
I certify the reason for the absence indicated above is true and correct.
Member's Signature:
Date:
If completed bysecretary or staff to bo commi�lff(n/committee: //
Complee on member's behalf by: �s�� per member's 0 Verbal 19'Written request
on: (secretary/liaison's name)
(date)
Request fm{iScuSed Absence rmn - 6/19