JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Student Absence Report
If a student is going to be absent for 3 or more days, please do not complete this form. Contact the attendance office at 619-605-8100 ext. 3026 or lperretta@sandi.net
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
How many days will the student be absent?
*
If a student is going to be absent for 3 or more days, please do not complete this form. Contact the attendance office at 619-605-8100 ext. 3026
1 Day
2 Days
What date will the absence begin?
*
MM
/
DD
/
YYYY
Student Last Name
*
Your answer
Student First Name
*
Your answer
Student ID Number
Your answer
Student's Grade
*
2026 - 9th Grade
2025 - 10th Grade
2024 - 11th Grade
2023 - 12th Grade
Please choose the reason(s) for absence
*
Select all that apply
Not feeling well / ill
Cold / Flu
Stomachache
Headache / Migraine
Fever
Medical Appt
Dental / Ortho Appt
DMV / Passport Appt
Personal / Family (Only 3 days per semester can be excused)
Bereavement
Other:
Required
If your student is COVID positive, please list the date they tested positive.
MM
/
DD
/
YYYY
Parent / Guardian Name & Relation to student.
*
Your answer
Parent / Guardian Phone Number
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of San Diego Unified School District.
Report Abuse
Forms