Riverview HS Absence Request
Please submit your request for your student(s) absence within 48 hours of the original absence date. Your child may receive up to 6 excused absences using this form. Once your student has reached the maximum number of excused absences, a doctor or professional note is required to excuse the absence.
Student First Name *
Your answer
Student Last Name *
Your answer
Student Number *
Your answer
Today's Date *
MM
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DD
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YYYY
Absence Date *
(Multiple-day absences must be submitted individually each day.)
MM
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DD
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YYYY
Late/ Full Day Absence *
Reason for Absence *
Parent/ Guardian Name *
Your answer
Parent/ Guardian Phone Number *
Your answer
Comments?
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