Absence Verification Form (Nota de Ausencia)
Complete this form to verify a student absence. All absences must be reported within 48 hours of the absence. Have questions or concerns? Contact Elydia Villicaña at (951) 490 -0380 or evillicana@valverde.edu


(Complete esta forma para verificar la ausencia de su hijo(a). Todas las ausencias deben ser reportadas dentro de 48 horas de la ausencia. Cualquier pregunta comuniquese con Elydia Villicaña al tel. (951) 490-0380 o por correo electronico a evillicana@valverde.edu)

Student Name (Nombre del Estudiante):
Your answer
Name of person reporting the absence (Nombre de la persona reportando la ausencia):
Your answer
Reason for absence (Razon por la ausencia):
Date of Absence (Dia de la ausencia):
If the student has a doctors appointment you must bring in a doctors note to the front office. The absence will NOT be excused if you do not bring in a doctors note.
MM
/
DD
/
YYYY
Teacher Name (Nombre del maestro):
Submit
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