Extended Absence Form 2023-24
Use this form if your child will be absent for 5 days or more.  You will also need to notify your child's classroom teacher(s) of this absence.  Please be aware of the following LCPS attendance policy:

If a student is absent for 15 or more consecutive days, regardless of the reason, the State of Virginia law requires that the student be unenrolled from Loudoun County Public Schools. Any student that is withdrawn will need to re-enroll upon returning to the County. The parent will need to email the School Registrar requesting a return date. This is required so that class placement can be assessed for that grade. There is no class placement guarantee when a student is absent. The parent will have to provide a new TB screening and proof that the family still resides within the county - a current utility bill, mortgage statement or lease can be used for this purpose.
Sign in to Google to save your progress. Learn more
Email *
Student Last Name *
Student First Name *
Student ID *
Teacher Name *
Parent Name *
Parent Phone *
Date Extended Absence will begin *
MM
/
DD
/
YYYY
Date student will return to school *
MM
/
DD
/
YYYY
Reason for absence: *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Loudoun County Public Schools. Report Abuse