Absence Excuse Form

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Absence Excuse Form
Date: ________________
Dear ___________________________________ ,
(teacher’s name)
Please excuse my child, _______________________________________, from being
absent from school on the following day(s): ________________________________.
The reason for his/her absence is:
Parent/Guardian
Name: ____________________________________
(please print)
Signature: ____________________________________
Notes: This form should be submitted to your child’s teacher within 3 days of the last
date of absence. If applicable, please attach a doctor’s excuse to this form.

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