2021-2022 Alice ISD COVID Case Reporting
Please complete the following form IF YOU HAVE TESTED POSITIVE.

The information gathered will allow us to follow up with appropriate individuals that may have been exposed.
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Email *
Last Name, First Name, Middle Initial
Date of Birth
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Current phone number where you can be reached
Assigned Location
Job Assignment
Provide the date when you started to experience symptoms (skip if not applicable)
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DD
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YYYY
Date of initial POSITIVE COVID-19 test *
MM
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DD
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YYYY
Last day on campus, if applicable *
MM
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DD
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YYYY
Submit
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