Alabaster City Schools COVID-19 Self Reporting Notice
Please complete this form if you have been diagnosed with a positive test for COVID-19.
I am a *
First Name *
Last Name *
School Location *
Enter the Date Received for the Positive COVID-19 Diagnosis *
MM
/
DD
/
YYYY
Did you test positive for COVID-19? *
Do you have any symptoms of COVID-19? *
If you have recently reported to work, please indicate which work location and the date you last reported to work.
Work Location
Date You Last Reported to Work
MM
/
DD
/
YYYY
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