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Lateral Flow Device Home Test Results
Please use the following form to report your child's home test results
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* Indicates required question
Email
*
Your email
Student Forename
*
Your answer
Student Surname
*
Your answer
Student Date of Birth
*
MM
/
DD
/
YYYY
Student Year Group
*
Year 7
Year 8
Year 9
Year 10
Year 11
Test Date
*
MM
/
DD
/
YYYY
Test Barcode
*
Your answer
Test Result
*
Negative
Positive
Void
Your name
*
Your answer
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This form was created inside of Benjamin Britten High School (A Hartismere Family School).
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