COVID-19 Documentation & Travel Letter Request

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There are delays in test results that we cannot control. You may submit this request at any time -someone from the health department will process your request and respond via email. We are only processing requests for residents within Winnebago County, Wisconsin's jurisdiction. We expect results to populate in our database 5-7 days after the test date.

First Name *

Last Name *

Date of Birth *

Address *

Include street #, town, and zip code

Test Date

YYYY

Date of exposure

YYYY

Date of 1st Symptoms

YYYY

Email *

Enter your email address carefully - significant delays occur if the email is incorrect.

Phone Number *

What is your primary language? *

English

Spanish

Other:

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