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Los Angeles Unified School District CERTIFICATION/REQUEST OF ABSENCE FOR ILLNESS, FAMILY ILLNESS, NEW CHILD EMPLOYEE INFORMATION (Please Print) Last Name First Name Work Location Name M.I. Job Title
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How to fill out absence certification request

How to fill out an absence certification request:
01
Begin by obtaining the absence certification request form from your workplace, school, or any relevant authority. This form may be available online or you may need to request it in person.
02
Read the instructions carefully to understand what information is required and how to fill it out correctly.
03
Start by providing your personal details such as your full name, contact information, and any identification numbers or employee/student IDs that may be required.
04
Specify the dates of your absence for which you are seeking certification. This could be a single day or a range of dates.
05
Clearly state the reason for your absence. Whether it's for medical purposes, personal reasons, or an emergency, make sure to provide a brief explanation.
06
If necessary, attach any supporting documents such as medical certificates, travel itineraries, or any other relevant paperwork that can validate your absence.
07
Ensure that you sign and date the form, acknowledging that the information provided is true and accurate to the best of your knowledge.
08
Keep a copy of the filled-out absence certification request for your own records before submitting it to the designated authority.
09
Submit the completed form as instructed, whether it's by mailing it, physically handing it in, or submitting it through an online portal.
10
Follow up with the appropriate authority to confirm the status of your absence certification request and to obtain the certified document if approved.
Who needs an absence certification request?
01
Employees who need to provide proof of their absence from work, whether it's for sick leave, personal leave, or other authorized reasons, may need to submit an absence certification request.
02
Students who miss classes or school due to illness, family emergencies, or other valid reasons may be required to submit an absence certification request to provide proof of their absence.
03
Individuals who are required to report their absences for legal or administrative purposes, such as individuals involved in court cases, government programs, or any situation that requires documentation of their absence, may need to fill out an absence certification request.
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What is absence certification request?
Absence certification request is a formal document submitted to request verification of an individual's absence from work or school.
Who is required to file absence certification request?
Employees or students who need to provide proof of their absence are required to file an absence certification request.
How to fill out absence certification request?
To fill out an absence certification request, the individual must provide their personal information, the dates of absence, a reason for the absence, and any supporting documentation.
What is the purpose of absence certification request?
The purpose of absence certification request is to formally document and verify an individual's absence from work or school for record-keeping and verification purposes.
What information must be reported on absence certification request?
The absence certification request must include the individual's name, contact information, dates of absence, reason for the absence, and any supporting documentation.
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