Evergreen Reporting Form
Please complete this form if your child has tested positive for COVID-19.
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Student Name (Last Name, First Name) *
Grade *
If symptomatic- Specify the date the symptoms started.
MM
/
DD
/
YYYY
Date of positive COVID-19 test results. *
MM
/
DD
/
YYYY
Email address *
Best Contact Number *
Submit
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This form was created inside of Scotchplains-Fanwood Public Schools.

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