Child's Full Name *

First Name

Last Name

Reason for Absence *

Please select the reason why your child missed school (required):

Student illness/sickness (for 5 or more consecutive absences, doctor's note is required - send with child to hand in at main office or scan and send to gary.payne@dc.gov)

Medical/Dental/Eye Appointment (please provide a note from the medical provider - send to school with child to hand in at main office or scan and send to gary.payne@dc.gov)

Religious holiday

Death in the family

Student Judicial Proceeding (please provide document from court verifying presence - send with child to hand in at main office or scan and send to gary.payne@dc.gov)

Other (if you selected "Other" please provide details below. Please understand that under DC Law, only certain absences may be accepted as excused absences. Please see our Attendance Policy webpage for details - send with child to hand in at school office or scan and email to gary.payne@dc.gov)

Parent/Guardian's Full Name *

First Name

Last Name

Parent/Guardian Phone Number *

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###

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Today's Date *

The date the online absence excuse was completed.

MM

DD

YYYY