School and Childcare Centre Absenteeism Reporting Form

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Contact Information
Absenteeism Information
Is absenteeism ≥ 20% or is there an illness concern within a cluster?
Student Information
Grades/Rooms of Ill Students
Staff Information
Presenting Symptoms
Additional Details
Is food service offered on-site?

Please Submit this form to let us know absenteeism is now below 10%.