COVID-19 REPORTING FORM

This form is to report L'Anse Creuse students and staff members who are COVID-19 positive.  If you complete this form, you DO NOT need to call your school/work building to report the illness.  This information will be forwarded to the appropriate staff member and a return date will be provided to you once submitted.

Date*
Name*
Positive Test Date*
Symptoms*
Symptom Start Date*

Thank you for reporting your illness.  This information will be sent to your school/building and a return date will be provided shortly.  Please note that when you return to school or work, a mask should be worn for 5 days.

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