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Excused request 2026
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- Click ‘Get Form’ to open the excused absence request form in the editor.
- Begin by entering your personal information. Fill in your name, UIN, email, and phone number in the designated fields.
- Indicate the type of experience you are requesting an absence from by checking the appropriate box: Clerkship, Elective, or Sub-Internship.
- Provide the title of your clinical experience and its location in the specified fields.
- Enter the date(s) of your anticipated absence clearly in the provided section.
- Select a reason for your absence from the list provided. Ensure you check only one option that applies to your situation.
- If applicable, describe any other circumstances that may warrant an absence in the space provided at the end of the reasons section.
- Once completed, save your form and email it to your Clerkship/Elective/Sub-Internship Director for review as instructed.
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See more excused request versions
We've got more versions of the excused request form. Select the right excused request version from the list and start editing it straight away!
| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2017 | 4.8 Satisfied (165 Votes) |
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