21-22 DCSC COVID-19 Reporting Form
This online form is to be used to report positive cases of COVID-19 for students and staff of Danville Community Schools. Please remember that if you have someone living in your home who has tested positive for COVID-19, all members of the household should quarantine.
Email *
Name of person completing this form (first and last) *
Preferred phone number *
Secondary Email address (if applicable)
First name of COVID-positive individual *
Last name of COVID-positive individual *
Date of birth for COVID-positive individual *
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Which school(s) is the COVID-positive individual affiliated with? *
The COVID-positive individual is a *
What grade level is the COVID-positive individual affiliated with? *
The individual in this scenario *
Required
What is the last date the individual was in school? *
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If the individual in this scenario is a student, did they, within 48 hours prior to the onset of COVID symptoms and/or a positive test (check all that apply), *
Required
Please enter the date symptoms began. *
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Please enter the date of the individual's COVID test *
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Are there any other details our contact tracers should be aware of?
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