VAAS Student Absence Note
Pursuant to CA Code of Regulations §306, parents/guardians are responsible for providing documentation of an excused student absence.

THIS FORM MAY ONLY BE SUMBITTED BY THE STUDENT'S PARENT/GUARDIAN.

If you have any questions, please VAAS at 818-832-7751, Monday-Friday, between 8 am - 3 pm.
Email address *
Student's First Name *
Student's Last Name *
Student's Date of Birth *
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Student's Grade Level *
Parent/Guardian's First Name (who is verifying the absence) *
Parent/Guardian's Last Name (who is verifying the absence) *
Parent/Guardian's Phone Number (for verification) *
1st Date of Absence *
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Number of Days Absent (Please call VAAS if absent more than 4 days 818-832-7751) *
Briefly explain the absence (including partial days) *
If the absence was due to a doctor's visit, please provide both the NAME and PHONE NUMBER of the doctor for verification by the school nurse, if necessary. (CA Code of Regulations Title 5, Sect. 421)
Certification statement - By submitting this form, I certify that I am the parent/guardian of the student named above and that the information contained therein is true and correct. *
A copy of your responses will be emailed to the address you provided.
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