Excused Absence Extension Request - Jefferson County Public ... - jefferson k12 ky 2026

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  1. Click ‘Get Form’ to open the Excused Absence Extension Request in the editor.
  2. Begin by entering the date of your request in the designated field at the top of the form.
  3. Fill in your phone number to ensure that the school can contact you if needed.
  4. Provide your child's school name and their full name along with their date of birth in the respective fields.
  5. Enter your name as the parent or guardian, followed by your complete address including street, city, state, and zip code.
  6. Input your physician’s name and their address, ensuring to include all relevant details like street, city, state, and zip code.
  7. Include both the phone number and fax number of your physician; remember that the fax number is mandatory for processing.
  8. Sign as a parent or guardian at the bottom of the form and type or print your name clearly.
  9. Once completed, save your document and follow instructions to mail or fax it to your child’s school.

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