VVMS Absence E-Verification Form
Student Absence E-Verification Form
Student's Name (First & Last)
Date of Birth
Date(s) Student was Absent
(Please list all the dates in mm/dd/yyyy form.
Reason for Absence
Doctor or Dentist Appointment (submit proof whenever possible) - Excused
Illness - Excused
Student Court Appointment (submit proof to the office) - Excused
Religious Observance (total allowed per year is 3 days) - Excused
Funeral/Bereavement-Immediate Family Only - Excused
Personal/Family Emergency - Unexcused
Transportation Problems - Unexcused
Other Reason - Unexcused
If you selected funeral/bereavement, indicate the relationship of deceased to student (immediate family only)
If Other, what was the reason (not excused)
Parent/Guardian Email Confirmation
Provide an email to receive a confirmation of this information.
Parent/Guardian Phone Number (must match what we have on file)
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