San Diego Cooperative Charter School Absence Verification Form

SDCCS Student Absence Verification

All absences must be verified by a parent/guardian within 3 school days of the last day of the student’s absence. Absences remaining unverified after 3 school days will be recorded as unexcused. Absences not defined as excused in the CA Education Code Law (Ed. Code § 46010, 48205) will be recorded as an unexcused absence. Filling out this form is not an automatic excused absence.

Examples of types of absences from the Attendance Policy

Excused Absences	Unexcused Absenses
Student illness with a contagious condition, temperature over 100º, vomiting or diarrhea All day medical or dental appointments Attendance at a funeral service of an immediate family member Religious observance Justifiable personal reasons with principal approval	Family vacations/out of town without prior approval Appointments other than medical/dental Transportation Issues (traffic, car trouble, missed the bus) Parent/sibling/other family member sick Absences for which no reason is provided

Please fill in the form below completely or call the SDCCS Office (858-496-1613) to report a student absence. (One student per form).


Student first name:		Student last name:
Classroom:

Dates of absence:	through:
Reason for absence:
	If reason for absence is "Other", please explain:

	If reason for absence is "Student illness", check all symptons that apply:
	Fever	Cough	Sore Throat
	Headache	Nausea	Runny/Stuffy Nose
	Chills	Aches	Vomiting
	Other (describe)


Person reporting absence:
Relationship to student:
E-mail of person reporting:
Phone of person reporting:

A K-8 Public School in San Diego, California