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Piedmont High School Attendance Note Collection 2023-2024
We are not accepting notes for any dates before 1/26/2024.
Absence Reporting Form
This form is to be used by a PARENT/GUARDIAN to report
a STUDENT'S PREVIOUS DAY OR CURRENT DAY'S absence
from school.
THIS IS NOT TO BE USED FOR AN EARLY DISMISSAL.
THIS IS NOT TO BE USED FOR FUTURE DAYS
Completion of this form by a student will not be addressed.
*Emails for absences will no longer be accepted*
Students arriving to school late, or returning to school from a medical appointment may continue to sign in to school and turn in their doctor's note to the front desk.
This form will be considered a parent note unless a doctor's note, court documentation or funeral documentation is submitted via paper at school.
The parent note (upload to this form) will only be accepted within the same 6 week grading period in which the absence occurred.
A maximum number of
FIVE (5)
parent notes (uploads to this form) will be
accepted during each semester.
The Board reserves the right for the school to request additional documentation to excuse an absence.
Absences due to an extended illness (excess of 5 consecutive school or 5 cumulative days in a single semester) may require a statement from a physician.
UCPS Board Policy Regarding Attendance
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* Indicates required question
Email
*
Your email
Parent Email Address
*
Your answer
Name of Parent Reporting this Absence
*
Your answer
Parent Phone Number
*
Your answer
Student's LAST Legal Name **Name must be what is legally recorded in PowerSchool so that the note can be accurately recorded.
*
Your answer
Student's FIRST Legal Name **Name must be what is legally recorded in PowerSchool so that the note can be accurately recorded.
*
Your answer
Student PowerSchool Number (Leave blank if unknown)
Your answer
Student's Grade Level
*
Choose
9th
10th
11th
12th
First Day of Absence
*
MM
/
DD
/
YYYY
Last Day of Absence
*
MM
/
DD
/
YYYY
Reason for Absence
*
Your answer
I understand that for any of these reasons below I must submit additional documentation at school.
1. Doctor's Note/Medical/Dental Appointment
2. Bereavement/Funeral of Immediate Family Member
3. Religious
4. Court Proceeding
5. College Visit
6. Driver's Test
*
YES
Additional Information (You may enter details about the absence here, optional but further explanation may be requested later)
Your answer
A copy of your responses will be emailed to the address you provided.
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