ACS Excused Absences Form

Alexander City Schools- Submit an Excuse for an Absence

Parents, Alexander City Schools policy requires all excuses to be submitted no later than the third day following an absence when a student returns to school. School staff must still approve excuses once submitted. You may take pictures of doctor's notes or other documentation using this form. Alexander City Schools policy also limits students to a maximum of 5 days missed that can be excused with written parent notes per year.

Student First Name *

Student Last Name *

Grade Level *

What day was your child absent from school? (Excuses submitted for absences that took place more than three days ago will not be approved.) If the student will be out for multiple days, choose the last day of the absence, but list all days absent in the "reason for absence" box. * * +

How many days of school were missed during this absence? *

Which school does your child attend? *

What was the reason for your child's absence(s)? *

Name of parent filling out absence form *

Parent Email Address *

Parent Phone Number *

Photo of Doctor's note or other documentation

Parent Signature *

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