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Report a COVID-19 Exposure, Symptoms or Confirmed Case
This form requires Javascript to be enabled for submission and authorization.
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Required
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
Name
*
required
First Name
Last Name
Student's Name
*
required
First Name
Last Name
Email Address
*
required
Phone Number
Primary site
*
required
Adult Basic Education
Arbor View
Birch Grove
Brooklyn Middle
Basswood
CBVAT
Cedar Island
Crest View
Distance Learning Academy
Edinbrook
Elm Creek
Enrollment Center
ESC
Fernbrook
Fair Oaks
Garden City
Maple Grove Middle
Maple Grove Senior
North View Middle
Oak View
Osseo Area Learning Center
Osseo Education Center
Osseo Middle
Osseo Senior
Park Brook
Park Center Senior
Palmer Lake
Rush Creek
Rice Lake
Woodland
Weaver Lake
Willow Lane
Zanewood
District 279 school/program attended most regularly
*
required
Adult Basic Education
Arbor View
Birch Grove
Brooklyn Middle
Basswood
CBVAT
Cedar Island
Crest View
Distance Learning Academy
Edinbrook
Elm Creek
Enrollment Center
ESC
Fernbrook
Fair Oaks
Garden City
Maple Grove Middle
Maple Grove Senior
North View Middle
Oak View
Osseo Area Learning Center
Osseo Education Center
Osseo Middle
Osseo Senior
Park Brook
Park Center Senior
Palmer Lake
Rush Creek
Rice Lake
Woodland
Weaver Lake
Willow Lane
Zanewood
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).
Submit