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IMS Absence Reporting

Welcome to the Independence Middle School attendance office. Please complete this form to report your child's reason for absence, tardiness, or early release.

Parent / Guardian's Name*

Answer required for "Parent / Guardian's Name"

Parent / Guardian's Contact Number*

Number Required

Parent / Guardian's Contact Email Address*

Answer required for "Parent / Guardian's Contact Email Address"

Student's Name*

Answer required for "Student's Name"

Absence Date Start*

Answer required for "Absence Date Start"

Absence Return Date*

Answer required for "Absence Return Date"

Check Applicable Category:

Answer required for "Check Applicable Category:"

Absence

Tardy

Early Release

Reason for Student's Absence or Tardiness; or Time for their Early Release*

Answer required for "Reason for Student's Absence or Tardiness; or Time for their Early Release"

Pertinent Documents (e.g. doctor's note, etc.):

Answer required for "Pertinent Documents (e.g. doctor's note, etc.):"

Choose a file or drag it here.

Parent / Guardian's Electronic Signature*

Signature Required

Confirmation Email

Confirmation Email *

Answer required for "Confirmation Email"