Student Name(required) Student Number(required) Date(s)(required) Site Main Campus Off Campus OCLC Site Lakes Central New River Annex North Broward Park Lakes Annex Riverside Rock Island Sailboat Bend Southeastern Southwestern South Central OCLC Session 7 am - 12 pm 12 pm - 5 pm 4 pm - 9 pm Reason for Absence(required) Personal Illness Illness of Family Member Death of Family Member Religious Holiday Required Court appearance or subpoena Doctor/Dentist Visit Hospitalization Name of Person Reporting Absence(required) Relation to Student(required) Student Mother Father Guardian Contact phone number for verification(required) You may attach a file if you have a doctors excuse Browse... acceptable file types are: PDF, txt, doc, docx - 5MB Limit Comments Type the characters(required) This field should be left blank Send Please wait...
