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COVID-19 Illness and Exposure Reporting

This illness reporting form will help Monongalia County Schools health staff determine the need for COVID-19 testing, contact tracing, and whether or not you should report for work or school today.
The information you provide may be shared with your school Principal or department administrator, school nurse, and Supervisor of School Health.
If you have not completed a Self-Screening form, please do so or notify your building administrator right away if you will not be attending work or school today.
Basic information and contact
Put a description here
Are you a: *
Grade(s) (Select all that apply) *
Select all locations where you have been within the last 24 hours. *
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