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Student Absence Notification Form Final 8

Good attendance is important for academic success. This student absence notification form is used to document reasons for a student's absence from school. Parents or guardians must sign the form providing the date and reason for absence, such as illness, medical appointments, religious observances, or family deaths. The school attendance office then codes the absence as excused or unexcused based on school board policies. Maintaining accurate attendance records is necessary.

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340 views1 page

Student Absence Notification Form Final 8

Good attendance is important for academic success. This student absence notification form is used to document reasons for a student's absence from school. Parents or guardians must sign the form providing the date and reason for absence, such as illness, medical appointments, religious observances, or family deaths. The school attendance office then codes the absence as excused or unexcused based on school board policies. Maintaining accurate attendance records is necessary.

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api-421261624
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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“Good Attendance is the Key to Academic Success!

STUDENT ABSENCE NOTIFICATION FORM

Student Name___________________________________ Date(s) of Absence____________________


(please list siblings on separate forms)

Reason for absence (select one):

 Personal Illness  Medical or Dental Appointment

 Observation of a religious holiday  Death in the family (limited to a period of 3 days)


 Other__________________________________________________________________________
(Principal approval may be required for the purpose of documenting the reason for accepting or denying the excuse)

PARENT/GUARDIAN SIGNATURE: _______________________________ DATE: __________________

Absence Called In Via Phone (complete below):

Name of caller (must be parent or guardian): ___________________________ Time of call: _______________

Form completed by _________________________________________________ Date: _______________________

For Attendance Office Use Only:

Student Number: ____________________

Absence coded as: Unexcused (UNX) Parent Authorized Absence (PAA)  Parent Medical (PMD)

Parent Authorized Late Arrival (PALA) Parent Medical Late Arrival (PMLA)

Parent Authorized Early Leave (PAEL) Parent Medical Early Leave (PMEL)

Note: If this request exceeds the students 9th Parent Authorized Absence (PAA, PALA and/or PAEL), or the request is received more than one week
after the last date of absence, you must submit a Request For Principal Approval of an Excused Absence form to the Administrator for proper coding.

Date Entered Into IC ________________________ Entered By: ____________________________________

(Note: Only change the absence code if the reason given meets the criteria in the Board Policy)

The Columbus City School District does not discriminate based upon sex, race, color, national origin, religion, age, disability, sexual orientation, gender
identity/expression, ancestry, familial status or military status with regard to admission, access, treatment or employment. This policy is applicable in all
district programs and activities
REV Attend. & Acct. 8/13/2019
Revised 8/26/19

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