Absence Excuse Form

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Absence Excuse Form
Absence Excuse: This excuse form is to be used when your child has been absent from school. Any time your
child has been seen by a physician it is advised that you request a doctor’s excuse for your child to present to school
upon returning to school. Please return this form within 3 school days of your student’s return to school. Excuses
will not be accepted after the three school day time frame.
Please complete information below:
Student’s Name _____________________Homeroom Teacher ____________________________ Grade ______
Date(s) of Absence
_________________________________________________________________________________________
Reason for absence:
_________________________________________________________________________________________
Parent/Guardian Signature _____________________________ Date ___________________
(All excuses must be presented to school no later than three (3) days after the student’s return to school. If not, the absence is unexcused).
Absence Excuse Form
Absence Excuse: This excuse form is to be used when your child has been absent from school. Any time your
child has been seen by a physician it is advised that you request a doctor’s excuse for your child to present to school
upon returning to school. Please return this form within 3 school days of your student’s return to school. Excuses
will not be accepted after the three school-day time frame.
Please complete information below:
Student’s Name _____________________Homeroom Teacher ____________________________ Grade ______
Date(s) of Absence
_________________________________________________________________________________________
Reason for absence:
_________________________________________________________________________________________
Parent/Guardian Signature _____________________________ Date ___________________
(All excuses must be presented to school no later than three (3) days after the student’s return to school. If not, the absence is unexcused).

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