Absence Verification Form
Please use this form if you were absent for an entire day of school.
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Student First Name *
Student Last Name *
Student ID# *
Parent/Guardian Phone Number (xxx) xxx-xxxx *
Date of FIRST Full Day Absence *
MM
/
DD
/
YYYY
Date of LAST Full Day Absence (If only absent one day, pick the same date as above.) *
MM
/
DD
/
YYYY
Reason for Absence (Choose all that apply) *
Required
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