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School and Childcare Centre Absenteeism Reporting Form

When an administrator has determined their school has 20% absenteeism (children and staff), or if there is a concern of high absenteeism in a cluster/classroom, please complete the reporting form below. Once received, the Windsor-Essex County Health Unit (WECHU) will contact you to provide further direction.

If you have any questions while submitting this form, or about absenteeism reporting to the WECHU, please call (519) 258-2146 ext. 1420. 

(This question is mandatory)
Are you reporting on behalf of a school or daycare/childcare centre?
(This question is mandatory)
Please select the name of the school from the drop-down list below.
(This question is mandatory)
Please select the name of the daycare/childcare centre from the drop-down list below.
(This question is mandatory)
Is there a daycare or childcare centre on-site?
(This question is mandatory)
Is there a school on-site?
(This question is mandatory)
Please enter your full name.
(This question is mandatory)
Please enter your phone number and extension.
(This question is mandatory)
Please enter your email address.
(This question is mandatory)
Please enter your title/position.