Add COVID-19 Case Report

Note: If you reported your child's confirmed case of COVID on this Google Form, that report has been transferred to this tool, so please do not create a duplicate report here.

Please fill out this form only once per child per infection. We'd like to know both when your child first demonstrated symptoms and when your child had a positive test date.

Please provide the one-time access code you were provided when asking to submit a report. To obtain an access code, please contact the admin of your school's DIY Contact Tracing Group or send an email to
What was the date on which your child first exhibited symptoms consistent with COVID-19?
On what date was your child given a test that indicated that they had COVID-19?