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School, Child Care, Camp, Sports Team, or Group Reporting COVID-19 Positive Case

Please use this secure form to report a COVID-19 positive case affiliated with a school, child care, college/university, camp, sports team, class, club, or other group. Please use one form per positive case. After submitting this survey, the Washtenaw County Health Department will contact you within 1 business day. For questions, please contact 734-544-6700 or health@washtenaw.org.

2. Please provide the following information about the location affiliated with the positive case: *This question is required.
3. Type of facility *This question is required.
Please provide the following information about the sport/athletics team or group:
4. Please provide the following information about the COVID-19 positive case: *This question is required.
5. Is the positive case a student/camper/participant, coach/instructor/teacher, other staff, or other? *This question is required.
6. Have you identified close contacts? 

A close contact generally means a person was within 6 feet of someone with COVID-19 for 15 minutes or more (cumulative time throughout the day), or had direct physical contact with the COVID-19 positive person.

Rules for close contacts in school settings are slightly different, and can be found here: https://bit.ly/WCHDschools2021.
*This question is required.