(*) required field
Your name, as you want it to appear, on the note. Recommend first only like, John.
This is where we will email you a copy of your note.
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We will use special software to generate signatures.
PAIN ILLNESS INJURY
Starting time off from school/work.
Ending time off from school/work.
Write reason for absence (ie: please excuse John from work due to flu). Keep excuse short for best results.