Absence Excuse Note - Liberty Middle School
Absences are recorded as U-Unexcused until a written parent or medical note is received in the main office within 3 days. 
Parents can excuse absences by email ( lhockensmith@hcps.us ), online form( bit.ly/LMSnote ), ParentSquare attendance notification reply, paper note submitted to the main office or fax (804) 365-8061. 
  • Parent excuse notes received within 3 days will be recorded as E-Excused. 
  • Medical/Professional excuse notes will be recorded as M-Medical/Professional Excused.  - Include a parent note to excuse any additional absences that are not stated specifically on the medical excuse note.
  • After 10 full-day absences, a medical/professional note will be required to excuse additional absences.
  • Allow 24 hours for attendance codes to be updated in PowerSchool.
This form is only for excusing absences. Parents and students are responsible for communicating absences and missing work with their teachers.
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Email *
Student Last Name (as documented in PowerSchool) *
Student First Name (as documented in PowerSchool) *
Grade Level *
Date of Absence *
MM
/
DD
/
YYYY
Expected Return Date (if multiple days)
MM
/
DD
/
YYYY
Reason for the Absence? Please always ask for and submit medical excuse notes for appointments (see last item). *
Name of Person Completing This Form *
Relationship to Student (absences reported by someone other than a parent or guardian will be verified) *
Will you be submitting a medical/professional note to lhockensmith@hcps.us. Medical excuse notes are preferred and will be required to excuse absences once a student reaches 10 excused or unexcused absences. 
 *
A copy of your responses will be emailed to the address you provided.
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