Home Departments Health School Absenteeism Form School Absenteeism Form Edit Form Date Reported:* School Information School District Name:* East Dubuque Galena River Ridge St. Mary Elementary Scales Mound Stockton Warren Name of School:* Student Enrollment:* Total Staff:* Student Absences Influenza-like illness includes fever greater than or equal to 100 degrees F and cough and/or sore throat in the absence of a KNOWN cause other than influenza. Influenza-like Illness:* Other:* Staff Absences Influenza-like Illness:* Other:* TOTALS Students Student Absences:* Student Absentee Rate (%):* Student ILL Rate (%):* Staff Staff Absences:* Staff Absentee Rate (%):* Staff ILL Rate (%):* Report absentee rates of greater than or equal to 10% to the health department immediately at 815-777-0263. Comments Comments: Submitted by:* email* contact:*