Face Mask Accommodation/Exemption Request (Updated 07-13-21)

Updated 7/13/21
In conformance with current health orders and guidance, during and in response to the COVID-19 pandemic, Los Angeles Unified School District (LAUSD) requires students to wear a face mask while attending in-person assessment, services, and/or instruction. LAUSD recognizes that some students may be unable to comply with the face mask requirement due to a disability, medical and/or mental health condition(s). If your child may require accommodations or is not able to wear a mask, please complete this form and return it to the school site PRIOR TO THE FIRST DAY OF ATTENDANCE or as soon as possible after the need is discovered. The form is to be completed by parents/guardians.

PDF Icon FACE MASK ACCOMMODATION/EXEMPTION REQUEST (Updated 07-13-21)