DRC - Absence Excuse Request

Absence Excuse Request

SUU Disability Resource Center
I verify that I have an approved accommodation to Excuse Absence by the SUU Disability Resource Center.
If you do not have this accommodation listed on your Accommodation Letter, you will not be able to be excused from your class. Please reach out to the Disability Resource center for more information.
Student Name*

First NameLast Name
T-Number*
Student Email*
example@example.com
Faculty Name*

First NameLast Name
Course Name*
Case Manager*
Date of Absence(s)*
Reason for Absence
Be detailed and descriptive
Professor/Faculty Email*
example@example.com
I, (the case manager), approve this form and request that an email be sent to the faculty detailing the absence.*

YesNo
Case Manager Email*
example@example.com
Hidden Email
Should be Empty: