Report Suspected or Confirmed COVID - RSU #34
For staff, students, households of the RSU #34 community. Please use this form to report confirmed or suspected cases of COVID19. If you or your household members have symptoms of COVID-19, please also check with your primary care provider.
Staff check this form frequently throughout the week to take appropriate follow-up action, in order to keep the spread of COVID-19 slow!
Who is completing this form?
What is your phone number?
What is your email address?
Who is the person with either confirmed or suspected COVID?
Please list any contact info that would help us get in touch with that person (phone number, email address)
In which of our schools does that person learn/work?
Alton Elementary School (grades PK-5)
Viola Rand School (Bradley, grades PK-3)
Old Town Elementary School (grades K-5)
Leonard Middle School
Old Town High School
If you know it, please share the date of birth of the person with confirmed or suspected COVID:
If you know it, please share the town of residency of the person with confirmed or suspected COVID:
Is there any other information you can provide to help us follow up?
Please click "Submit" below.
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This form was created inside of RSU #34.