Report School Absenteeism

School staff use this form to report when 10% or more of a school’s students are absent.

Concerned about an outbreak or unusual illness but less than 10% of students are absent? Call us at (253) 649-1412.

Date(Required)

Name(Required)

First Last

Phone(Required)

Extension

School(Required)

School district(Required)

Percent of students absent(Required)

(number of students absent ÷ number of students enrolled) × 100

Symptoms or reason for absence(Required)

Optional—Number of staff absent

Optional—Additional info

Email address

Enter your email address to receive a copy of your submission.

CAPTCHA