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.

Access Code

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 kcsdashboard@gmail.com

Student's School

Student's Grade Level

Check this box if your child exhibited symptoms of COVID-19.

Symptom Onset Date

What was the date on which your child first exhibited symptoms consistent with COVID-19?

Date That Positive COVID-19 Test Was Given?

On what date was your child given a test that indicated that they had COVID-19?