School Absenteeism Reporting | Winnebago County Health Department

Click here to read the School Absenteeism Frequently Asked Questions.

General Information

Date Reported:

Invalid Input

School Information

School District Name:(*)

Invalid Input

Name of School:(*)

Invalid Input

Student Enrollment:(*)

Invalid Input

Total Staff:(*)

Invalid Input

Influenza-like illness includes Fever ≥ 100°F and Cough and/or Sore Throat, in the absence of a KNOWN cause other than influenza.

Student Absences

Influenza-Like Illness:(*)

Invalid Input

Other:(*)

Invalid Input

Staff Absences

Influenza-Like Illness:(*)

Invalid Input

Other:(*)

Invalid Input

Totals

Students

Student Absences:(*)

Invalid Input

Student Absentee Rate (%):(*)

Invalid Input

Student ILL Rate (%):(*)

Invalid Input

Staff

Staff Absences:(*)

Invalid Input

Staff Absentee Rate (%):(*)

Invalid Input

Staff ILL Rate (%):(*)

Invalid Input

Report absentee rates of ≥ 10% to the health department immediately at 815-720-4050 or 815-720-4080.

Comments

Comments:

Invalid Input

Enter code how it appears:(*)

Refresh Invalid Input

Administrative Services

Services

Information

Community Partnerships

School Absenteeism Form

General Information

School Information

Student Absences

Staff Absences

Totals

Students

Staff

Comments