Student Absence/COVID Reporting

COVID Reporting or Absence Form

Submitting this Form for:*

If the student or anyone in the student's household has traveled to any state that is currently on the list of states that NJ has quarantining requirements for, please report in the BOX ABOVE: 1. WHO in the household, 2. STATE, 3. DATE of travel and Length of time spent there, and 4. PRECAUTIONS taken in the household to quarantine. The Nurse will contact you for further info. and with next steps.

If you believe the student or anyone in your household has possibly been exposed to COVID-19, or if they have tested positive, reporting this is required here. Please report in the BOX ABOVE: 1. WHO in the household was possibly exposed or tested positive, 2. DATE of possible exposure or positive test, and 3. HOW possibly exposed. The Nurse will contact you for further info. and with next steps.

Student's Grade*

Type of Absence

For 5th grade or under, I am requesting Homework if time allows for this arrangement (pick-up at end of school day;) 6th Gr. & up, check FACTS Parent Portal)

  • 4 or more sequential days absent due to illness requires a doctor's note
  • Regardless of an absence being excused or unexcused, 6th-12th grade max absences per year = 15 days, Elementary = 25 days
  • Check Family Handbook under Resources for absences that are excusable and all Attendance policies
  • Confidentiality is kept in accordance with privacy laws.