Report a COVID-19 Exposure, Symptoms or Confirmed Case

If more than one student in your household is displaying symptoms, has a confirmed exposure, or has a confirmed case of COVID-19, please fill out this form one time for each student.

I am a...required

District 279 staff member

Parent or caretaker of a student in District 279

Student in District 279

Namerequired

First Name

Last Name

Student's Namerequired

First Name

Last Name

Email Addressrequired

Phone Number

Primary siterequired

District 279 school/program attended most regularlyrequired

Please select any of the following that apply to you.required

I am experiencing symptoms of COVID-19.

I have tested positive for COVID-19.

I have been in close contact with someone who later tested positive for COVID-19. (MDH defines close contact as contact less than 6 ft. from the person testing positive for more than 15 cumulative minutes throughout the day).

Please select any of the following that apply to your student.required

My student is experiencing symptoms of COVID-19.

My student has tested positive for COVID-19.

My student has been in close contact with someone who later tested positive for COVID-19. (MDH defines close contact as contact less than 6 ft. from the person testing positive for more than 15 cumulative minutes throughout the day).

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