Thomas Jefferson Elementary Student Absence Form
Please use this form to report a student absence from Thomas Jefferson Elementary School.
Student's Full Name (as it appears on register)
Reason for Absence
Every student is expected to attend school on a daily basis, unless there is valid justification for his/her absence (EC 48260). We would like to remind you of our attendance policy and state laws regarding attendance. This link (
) will lead you to the district policy on attendance . Any absence in the other field will be reviewed by the main office and may be found to be unexcused if it does not meet the district policy requirements for excused absences. Unexcused absences may result in your child being classified as truant or chronically absent. Truancy means a student is absent or tardy more than a 30 minute period three times during the school year. Chronic absenteeism is defined when a student is absent for 10% or more of the school year. We are dedicated to supporting students who may be truant or chronically absent, so please contact us if you need assistance.
Medical, Dental, Optometrist, or Chiropractic Appointment
Work in the Entertainment Industry with Permit on File in the Office
Attendance at Funeral Services for a Member of the Student's Immediate Family
Participation in Religious Exercises or to Receive Religious Instruction at the Student's Place of Worship or Other Suitable Place
Quarantine Under Direction of County or City Health Official
Family Vacation (Unexcused)
Bring Your Child to Work Day (Unexcused)
Transportation Issues (Unexcused)
Personal Day (Unexcused)
Date Absence Began
Enter the first day of the student's absence from school.
Date Absence Ended
Enter the last day of the student's absence from school.
Name of Person Reporting Absence
Relationship to Student
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