Student Absence Notification

Student Assistance Services (SAS) can serve as a liaison for students in critical and/or life altering situations where students are unable to communicate with their faculty. The Student Absence Notification is designed to serve as a central point of contact for students who need to notify their instructors when an absence is due to an emergency and requires missing class for an extended period of time (usually more than three class days).

If the student is physically unable to submit the form, someone else may submit the request on their behalf. In the event a student is hospitalized for any reason, the student is encouraged to make an appointment with a SAS staff member to discuss their return to classes. SAS can ensure follow up services are provided or assist with student withdrawal if needed.

Non-emergency absences should be addressed with your instructors directly.

PLEASE NOTE: Issuing a Student Absence Notification does not "excuse" the absence, nor serve as a request for the absence to be excused, regardless of the reason. Instructors have authority to excuse absences based on the documentation you provide. For more information about excused absences, please refer to the course syllabus, speak directly with the instructor, or review Student Rule 7.

I understand that only the student's instructor may excuse the absence(s). * Required
- I AGREE and the student will speak with their instructor(s) as soon as they are able.
I understand the student is responsible for following up with each individual instructor to discuss possible arrangements for completing missed work during their absence(s). * Required
- I AGREE and the student will speak with their instructor(s) as soon as they are able.
I understand that if this request does not meet the criteria given for an absence request, one will not be sent. * Required
- I AGREE and the student will reach to their instructor(s) directly.
Student's Name * Required
First Last
Student's UIN * Required
If UIN is unknown, provide date of birth
Student's Phone Number * Required
Student's Email Address * Required
Date(s) out * Required
Student's expected date of return (if unknown, specify unknown) * Required
Student's reason for requesting a Student Absence Notification * Required
Submitter information
If you are submitting information on behalf of a student, please provide the following details. If this information is not provided, the request will not be considered.
Submitter's Name
First Last
Submitter's Phone Number
Submitter's Email
Submitter's relationship to student

STUDENT ASSISTANCE SERVICES

Submitter information