Absence Form - University of Derby, Buxton Campus

Please fill in this form as soon as possible to report a student absence.

Absence Form

First Name *

Surname *

Course *

Tutors Name *

First Date of Absence

Last day of Absence

Reason for Absence *

By submitting this form you are confirming that you have read and accepted the Privacy Policy. You are consenting to University of Derby - Buxton sending you information that you have requested. We will also use your data for internal performance reports. We will only use your data in connection with this request.

I have read the above

I understand that if I am aged under 18, my progress coach will contact my Parent/Carer to confirm they are aware of my absence.

I have read the above

Copy of sick note if available.

Maximum file size: 2.1MB

If you are able and you are off for longer than a week - please provide a screenshot of a doctors note. You may be required to bring this with you on your return to college. Accepted file types: jpg, gif, png

If you would like to talk to someone at UOD – Buxton just call 0800 074 0099 or you can email us an enquiry to febuxton@derby.ac.uk

If you would like to talk to someone at UOD – Buxton just call 0800 074 0099
or you can email us an enquiry to febuxton@derby.ac.uk