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Petition to Makeup Missed Work


To file a petition to make up missed work or to excuse a penalty, print and complete the form below.  Bring the form and all supporting documents (such as a doctor's note for an illness or an obituary for a death in the family) to the Mathematics Learning Center within two days of the missed work. The decision of the Petition Review Panel is final; you will be notified of the decision by e-mail. 

By submitting this form you are certifying that the information is correct, and that you understand that giving false information constitutes academic misconduct.

Name (Last, First):  
Student Number:  
Course and Section Numbers:  
Instructor:  
Request:  
MLC Use Only: Date Time: Initials:

Give a detailed, written justification below this line (use the back if you need more space):