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Five (5) Consecutive Absences Report

  1. *** IMPORTANT NOTE - DFPS Absences must be reported daily either by phone or via email. ***
  2. Please use this form to report five (5) consecutive absence days to CCS within 24 hours of this occurrence.
    Report submitted when a child/ren are absent five (5) consecutive days.
  3. Enter dates using month and day format, i.e. 01/01, 01/02, 01/03, 01/04, 01/05
  4. Use spaces below to report up to 4 additional children.
  5. Enter dates using month and day format, i.e. 01/01, 01/02, 01/03, 01/04, 01/05
  6. Enter dates using the month and day format, i.e. 01/01, 01/02, 01/03, 01/04, 01/05
  7. Enter dates using the month and day format, i.e. 01/01, 01/02, 01/03, 01/04, 01/05
  8. Enter dates using the month and day format, i.e. 01/01, 01/02, 01/03, 01/04, 01/05
  9. If additional occurrences need to be reported, please start a new form. Thank you for your time and patience.
  10. Leave This Blank:

  11. This field is not part of the form submission.