COVID-19 Reporting Form
This form is to report a positive case for your household/Este formulario es para informar un caso positivo para su hogar.
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Student First Name and Last Name/Nombre y apellido del estudiante *
Date of Birth/Fecha de nacimiento *
MM
/
DD
/
YYYY
Teacher/Maestro *
Date of Positive Covid-19 Test Result/Fecha del resultado positivo de la prueba Covid-19 *
MM
/
DD
/
YYYY
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