Complete and return to your TA
Student Name_________________________ ID#________ Date _______
Section # ________ TA ___________________ Date Missed___________
Reason for absence: Be specific, give all relevant details, including names and phone numbers of persons who can verify your excuse. Attach any supporting documents such as a health practitioner's note. Provide phone numbers and supporting documents. See previous page for official policy on excused absences.
The statements concerning my absence are true
Student's signature ___________________________
Date:______________________
Student's name_____________________________