COVID-19 Documentation & Travel Letter Request
There are delays in test results that we cannot control. You may submit this request at any time -someone from the health department will process your request and respond via email. We are only processing requests for residents within Winnebago County, Wisconsin's jurisdiction. We expect results to populate in our database 5-7 days after the test date.
First Name *
Last Name *
Date of Birth *
Address *
Include street #, town, and zip code
If Tested, Date of Test
MM
/
DD
/
YYYY
If a close contact, last date of exposure
MM
/
DD
/
YYYY
If you were symptomatic, what day did symptoms start?
MM
/
DD
/
YYYY
Email *
Enter your email address carefully - significant delays occur if the email is incorrect.
Phone Number *
What is your primary language? *
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