Rob Elementary

SHS Report an Absence
Student's Name*

First NameLast Name
Student's ID #*
Student's Grade Level*
Period of Absence*
Reason for Absence*
Other: Please explain the reason for the absence below.*
Illness

Answering the following questions about your child's illness will help to support the health and safety of our SUSD community. We will maintain confidentiality to the greatest extent possible in accordance with medical privacy laws.
Is your child experiencing flu-like or COVID19-like symptoms? (Fever 100.0+ or feeling feverish/chills, Cough, Shortness of breath or difficulty breathing, Sore throat, Runny or stuffy nose, Muscle or body aches, Headaches, Fatigue (tiredness), May have other less common symptoms such as nausea, vomiting, or diarrhea.)*

YesNo
Please select the symptoms your child is experiencing.

Fever (Temperature 100.0 or higher)Cough, Shortness of breath or difficulty breathing, Sore throat, Runny or stuffy nose, Muscle or body aches, Headaches, Fatigue (tiredness)Vomiting or Diarrhea
Does your child have a suspected/confirmed case of COVID19?

Yes, suspectedYes, confirmedNo
Other information
Upload medical documentation

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Name of person submitting absence notification*

First NameLast Name
Relationship to student*
Parent's Email Address*
example@example.com
Daytime Phone Number*
Please enter a valid phone number.
Parent's Signature

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High Schools