Report Absence Form

Report an absence:

Please complete all applicable boxes below for the absence of your child/ren. Your assistance is appreciated.

*Name of Child/ren

Please write the first and surnames of the child/ren who are absent from school.

*Room Number

Please record for child/rens room number/s

*Date/s of absence

Please indicate the days you child/ren will be absent.

*Reason for absence Sick Medical Appointment Family illness Funeral Other

Please give a reason for the absence. If other - please detail in the following text box.

Details of absence

If the absence is for 'other' above, please detail. This is required so that the school is able to determine whether the absence meets the requirements of the Education Act.

*Person reporting absence

The name of the person completing this form.

*Relationship to Absent child/ren

Please indicate your relationship to the child/ren who is/are absent.