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Student Assistance and Support Services - Absence Verification Request Form


Due to the heavy volume of requests, please note that a student's individual request can take two weeks for processing!

The Office of Student Assistance and Support Services can provide action regarding requests for verifying absences due to documented circumstances, including medical emergencies, personal/family emergencies, military orders, or court orders. Please make sure you have reviewed the website for more detailed information regarding the specific circumstances the office will verify. Submitting this form will initiate the absence verification process. If you have specific questions regarding absence verification, please contact the Office of Student Assistance and Support Services at 704-687-0289 during regular business hours (Monday through Friday, 8:00am to 5:00pm). If you have an emergency or a matter requiring immediate attention, please contact UNC Charlotte Police and Public Safety at 704-687-2200.

Final Approval of all absences, missed work, and/or extended academic deadlines is determined by the instructor.

The Office of Student Assistance and Support Services reserves the right to grant or reject absence verification requests at any time.

Due to the high volume of requests received during the semester, students must submit their absence verification request form AND official supporting documentation by the posted deadlines for the relevant term. Students are responsible for reviewing the posted deadlines, which are published on the SASS website at the beginning of each term.

Your Absence Verification request WILL NOT be processed without original documentation provided to the Office of Student Assistance and Support Services. You can attach documentation to this request form. You may also fax, email, hand deliver, or mail original copies to the Office of Student Assistance and Support Services for formal verification.

This form should be completed by current students, however submissions not submitted by current students will be reviewed for consideration based on extenuating circumstances. Please note that unexpected circumstances do occur and can cause a delay in review, but every effort is made to process all requests as efficiently as possible.

If you have questions about the Absence Verification process, please visit our website for additional information.

Contact Information

Please complete all fields. Requests cannot be processed if all fields are not complete.

 
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Student Information

Please provide your name, student ID number, and email address. Requests cannot be processed if all fields are not complete.

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Description/Narrative

Provide SPECIFIC information to support your request. If information is lacking, your request may be returned to you for further clarification, or not processed due to lack of specific information. Please adhere to posted semester deadlines, as outlined on our website. Requests submitted after the deadline will not be considered.

Information for COVID-19 Positive Students (READ FULLY): Beginning with the Spring 2023 semester, students requesting absence verification for COVID-19 positive results must provide official medical documentation from a provider noting their positive test results and any additional dates they are to remain out of classes. At-home tests will not be accepted as supporting documentation. 

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This field is required.
I understand that if my absence(s) does not fall under the criteria in which SASS verifies, SASS will not process my request. It is my responsibility to work directly with my faculty member(s) on absences that do not meet established SASS criteria. If you are unsure if your absence meets SASS criteria, please review the SASS absence verification website for more detail.(Required)
You must make at least one selection.
I understand that it is my responsibility to submit documentation to the Office of Student Assistance and Support Services (SASS) that covers the dates I am asking for absence verification and I understand that SASS cannot verify dates not included on my documentation.(Required)
You must make at least one selection.
I understand that if I do not submit my absence verification request form AND documentation within the posted deadlines (published on the SASS website at the beginning of each term), I am no longer eligible for assistance from the Office of Student Assistance and Support Services regarding this particular request. I will need to work directly with my professors regarding this particular absence(s).(Required)
You must make at least one selection.
I understand that while the Office of Student Assistance and Support Services can help verify the documented circumstance, such verification does not guarantee an excused absence, rescheduled coursework, and/or make up exam. The final decision for approval of all absences, missed work, and/or extended academic deadlines is determined by the instructor.(Required)
You must make at least one selection.
In each case, Student Assistance and Support Services must have documentation in order to verify the circumstance, take action, and advocate on behalf of a student. Our office may take steps to call medical providers or others to validate any documentation submitted. Submission of falsified documentation by a student may result in charges under the Code of Student Responsibility and inability to utilize Absence Verification in the future.(Required)
You must make at least one selection.

Supporting Documentation

Your Absence Verification request WILL NOT be processed without original documentation provided to the Office of Student Assistance and Support Services. Supporting documents may be attached below (preferred formats are PDF or JPEG). HEIC images (an option for iPhone photos) are not a supported; please convert/save any HEIC images as a PDF or JPEG before uploading to this request form.

You may also fax, email, hand deliver, or mail original copies to the Office of Student Assistance and Support Services for formal verification:

  • Fax: 704-687-1969
  • Email: studentsupport@charlotte.edu
  • Hand Deliver: 349 Cone University Center
  • Mail: Student Assistance and Support Services, 349 Cone University Center, 9201 University City Blvd., Charlotte, NC 28223
5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Submission