The University of Toledo

Forms

Student Life Forms

If you are looking for forms relating to student organizations you can find them at student life - Click here.

Excused Absence Request Form

This form must be filled out to request that an absence from an examination, quiz, required lecture, small group, laboratory, or a clerkship rotation is excused - (PDF Format) - Download here.

Leave of Absence

This form must be filled out to request a leave of absence for personal, medical, or academic reasons. A minimum of thirty days prior to the start of an LOA is required except under significant extenuating circumstances - (PDF Format) - Download here.

Request for Modification of Required Clerkship Schedule

This form must be filled out to request a modification of the assigned schedule for required clerkships - (PDF Format) - Download here.

LOA Extension Form

This form must be filled out to request an extension of a leave of absence - (PDF Format) - Download here.

Return From Leave Form

This form must be filled out to request to return to school following a leave of absence. The form must be submitted a minimum of thirty days prior to returning to classes - (PDF Format) - Download here.

Withdrawal Form

This form must be filled out to withdraw from the College of Medicine - (PDF Format) - Download here.

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