Request edit access
JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
RSU 9 Positive COVID-19 Reporting April Break
Please only complete if a person in your household has tested positive for COVID-19.
Sign in to Google
to save your progress.
Learn more
Someone has tested positive for COVID-19 in my household.
Yes
No, you do not need to answer any other questions.
Clear selection
Your Name:
Your answer
Best phone number to reach you at:
Your answer
Name of student (if they tested positive for COVID-19):
Your answer
What school does your student attend?
Your answer
If you have any specific questions, please feel free to include them here. An RSU 9 staff member will be in contact with you.
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Mt Blue Regional School District.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report