Holmes Attendance Verification Form
Please Note: All fields marked with a red asterisk are required fields.
To be completed by parent/legal guardian only.
Please fill in PARENT/GUARDIAN email address below.
In this box, please type YOUR first and last name.
Please check yes below to acknowledge the following statement: "By checking the signature box, I certify that I am the legal guardian of this child and all of the information provided to Livonia Pubic Schools School District is accurate"
STUDENT First Name
STUDENT Last Name
Reason for Absence
Please select the reason for your child's absence from the list below. This data is required by county regulations.
How many days do you expect your student to be absent?
More than 1 day
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This form was created inside of Livonia Public Schools.