Self Certification to Return to School
Complete this form after an isolation or quarantine due to a COVID-19/Coronavirus Event. You must receive approval prior to returning to school.
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Student First Name
Student Last Name
Please indicate your role:
Date Requested to Return to School:
I have had no fever for at least 24 hours without taking medication to reduce fever during that time.
Date of last fever of 100 degrees or higher (if blank then I have not had a fever of 100 degrees or higher)
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This form was created inside of Lancaster County School District.