Notification of Class Absence for Flu-Like IllnessUpper Iowa University
This form is for students who have flu-like symptoms (coughing, fever, sore throat, vomiting, diahhrea, et al). Once completed, please click the submit button at the bottom of this page.
I had flu-like symptoms on the following dates:
Please provide any relevant details concerning your absence in the box below:
Do you have an underlying health condition and if so, what is it?
COMMUTER STUDENTS: To submit this form, scroll to the bottom of the page.
RESIDENCE HALL STUDENTS ONLY: Sick Tray RequestMeals will be provided during regular cafeteria hours and delivered to your residence hall room.
Room Number & Building:
Meal Request (select all that apply):
Light Meal (liquids, broth, etc.)
Allergies (please specify below)
Do you have a roommate? If so, what is their name?
Additional Needs/Specific Requests:
By clicking the submit button below, I verify that the information I have provided is true. I recognize that falsifying this form is a violation of Upper Iowa University's Student Code of Conduct.