Covid-19 School Notification Form
Please fill out this form if you have a student who has tested positive for Covid-19. Thank you!
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Student's First and Last Name *
Student's School *
Student's Grade *
Date Covid-19 symptoms began
 *
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Date test was administered *
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DD
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YYYY
Where was your student tested? *
Date student last attended school *
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DD
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YYYY
Are there other school-age siblings in the home who have also tested positive for Covid-19?
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