Report an Absence

Please complete all the information below. If Student Services has any questions, a staff member will contact the student's parent/guardian for clarification. Thank you.

Please DO NOT submit this form if your student was testing or on a field trip sponsored by AAI. The attendance codes will be changed by our office staff.

***This form is NOT for pre-approving absences. This is for reporting them after the fact. Please see this form for pre-approval: https://aai.pasco.k12.fl.us/mform/view.php?id=133500***

Student Name Student Name First Last
Student Number
Must be 6 digits. Currently Entered: 0 digits.
MUST BE THE CORRECT STUDENT NUMBER
Student's Grade
Parent/Guardian Name Parent/Guardian Name First Last
Parent/Guardian Contact Phone Number
Parent/Guardian Email
I am reporting my student for being:

I am reporting my student for being: Absent Tardy
Date of Absence Date of Absence / MM / DD YYYY
Date(s) of Absence(s) or Tardy:
Please note that fraudulently filling out this form will result in a Level 2 Referral for lying to a staff member. This may result in out of school suspension and loss of privileges (parking, attendance at extra-curricular events, etc.). *

Please note that fraudulently filling out this form will result in a Level 2 Referral for lying to a staff member. This may result in out of school suspension and loss of privileges (parking, attendance at extra-curricular events, etc.). * I understand and confirm that I am a parent or guardian filling out this form.
Reason for Absence(s) or Tardiness:

Reason for Absence(s) or Tardiness: Illness of the student Major illness in the immediate family Death in the immediate family Religious holiday in the student's faith Religious instruction, conference, institutes, etc. Court order/subpoena Other (please explain below) - may be excused pending administrative approval
Upload information related to the absence(s) as needed:

Attach Files
Additional Information
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Full Name

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AAI Internal Notes

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Action Taken

Action Taken Entered Contacted Family Not an Excused Absence
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Report an Absence

Report an Absence

AAI Internal Notes