Almond Elementary Absence Form

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Thank you for using Almond Absence Reporting form. Only a parent or legal guardian of the student listed on the student's emergency contacts in Power School can fill out this form and clear an absence.

If you have any questions or comments on this process, please let Ms. Martinez know at abigailmartinez@lasdschools.org

Your Name and Relationship to Student:
*

Student's Last Name: *

Student's First Name:
*

Teacher: *

Date of Absence, Tardy or Early Dismissal :
*

Type of Absence or Tardy (Please notify the teacher) :
*

Absence

Tardy ( Please check in the office)

Early Dismissal

Required

Time of arrival (if tardy) or time of early dismissal (if not absent all day)

Time

Reason: *

Fever (99.6 degrees F or greater)

Chills, muscle or body aches

Fatigue

Shortness of breath/difficulty breathing

Loss of taste or smell

Cough/sore throat

Unexplained headache (i.e. not a migraine)

Nausea, Vomiting and/or Diarrhea

COVID-19 positive test

Other contagious illness requiring follow-up

Stomach ache (without nausea, vomiting or diarrhea)

Runny nose/congestion only (no other symptoms)

Appointment

Vacation/Trip

Other (see below)

If you selected "Other" above, please indicate reason for the absence:

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