Child Sick Leave Notice Form
Use this form to notify your school, daycare, or employer that your child will be absent due to illness.
Child's Full Name
*
First Name
Last Name
Parent/Guardian Full Name
*
First Name
Last Name
Relationship to Child
*
Please Select
Parent
Guardian
Other
Contact Email
*
example@example.com
Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
School/Daycare/Employer Name
*
Child’s Class/Grade or Department
Date of Absence
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Expected Return Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Additional Notes (optional)
Submit Notice
Should be Empty: