Absence Request Form (Including Holidays) printable pdf download

Absence Request Form (Including Holidays)

Absence Request Form (including holidays)

Please note that there is no automatic right for pupils to be granted authorised absences during school time.

PUPIL DETAILS

Name

Class/Year:

Date of Birth

Address

ABSENCE REQUEST DETAILS

Start date of requested absence

End date of requested absence

Return to school date

Reason for absence request

Name of parent/carer

(PRINT)

Signature

Date

FOR SCHOOL USE ONLY

Current attendance %

(in current year)

Previous absence requests this academic year.

Does the request time coincide with SATS

YES

Any mitigating/ aggravating circumstances which

indicate an absence should be authorised/ not

authorised?

Signature of Head Teacher

Date

H= Annual family holiday agreed G=Family holiday not agreed C= Other authorised circumstances

O= Unauthorised

*Tick and initial where appropriate/when completed

We have received your request for absence for …………………………………………………..(Childs Name)

from ………………………….. to ………………………..On this occasion the absence is authorised/unauthorised.

Signed………………………………………………………..(Head Teacher) ……………………………………….(Date)

Absence Request Form (Including Holidays)