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Homework/Class Work Excuse Form

Name: ______________________
Date: _______________________
Class: ______________________

I did not complete the assigned homework/class work assignment listed below
________________________________________________________________________
________________________________________________________________________
for the following reason(s):
________________________________________________________________________
________________________________________________________________________
_______________________________________________________________________.
____________________________________________
(Student name and signature)

Homework/Class Work Excuse Form


Name: ______________________
Date: _______________________
Class: ______________________

I did not complete the assigned homework/class work assignment listed below
________________________________________________________________________
________________________________________________________________________
for the following reason(s):
________________________________________________________________________
________________________________________________________________________
_______________________________________________________________________.
____________________________________________
(Student name and signature)
Copyright 2012 Peter S. Willis

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