Use this form to report staff or students that are positive or quarantined due to contact tracing for COVID-19
Sign in to Google
to save your progress.
Name of person making this report
Name of staff or student quarantined
Staff or Student
You must quarantine if you have been in close contact with someone who is COVID positive.
Close contact is defined as being within 6 feet of someone who is COVID positive, for a cumulative total of 15 minutes or more over a 24-hour period.
People who are fully vaccinated do NOT need to quarantine after contact with someone who has COVID-19 unless they have symptoms. However, we recommend fully vaccinated people get tested 3-5 days after their exposure, even if they don’t have symptoms. Although people who are vaccinated do not have to quarantine, they must wear a mask indoors in public for 14 days following exposure or until their test result is negative.
I have read and understand the quarantine protocols above
Yes, I understand.
Reason for quarantine
Symptomatic (cough, fever, loss of smell/taste, etc.)
Quarantined by health department through contact tracing
Quarantined by school through contact tracing
Possible quarantine from exposure, but not yet contacted by school or health department
Start Date of Quarantine or Date of Positive COVID test
Danville High School
John W. Bate Middle School
Edna L. Toliver Intermediate School
Mary G. Hogsett Primary School
Additional information or comments (optional)
Never submit passwords through Google Forms.
This form was created inside of Danville Schools.