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Absentee Surveillance Reporting

  1. public-health-services-district-color.png
  2. School Information:
  3. Contact information only needs to be entered the first time you submit a form
  4. Weekly Absentee Data:
  5. Number of Absences:
  6. A + B + C = D
  7. Leave This Blank:

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