District 48 Student Self-Certification Checklist
Each morning, please complete the checklist below to certify that your child is not currently exhibiting symptoms of COVID-19. A separate form must be completed for each child. If you answer "yes" to any of the questions, your child will need to stay at home for at least 10 days unless he/she obtains a negative COVID-19 test result or a doctor's note with an alternative diagnosis is provided to the school. If you have questions regarding this form, please contact Nurse Katie Strom at
Has your child or anyone in the household experienced any of the following symptoms during the last 24 hours?:
Has your child or anyone in the household been diagnosed with COVID-19 in the past 14 days?
Has your child been advised by a healthcare provider to self-quarantine for the next 14 days?
If the answer is "yes" to any of the questions, your child must stay home from school. Please report your child's absence to the school office. The nurse may follow up with additional questions. Per the Illinois State Board of Education, “Individuals who exhibit symptoms should be referred to a medical provider for evaluation, treatment, and information about when they can return to school.” Thank you for your help in ensuring that our students are arriving to school free of symptoms of COVID-19.
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This form was created inside of Salt Creek 48 School District.