Skip survey header

Schools: Reporting COVID-19 Positive Case(s)

Please use this secure form to report a COVID-19 positive case affiliated with a school, daycare, or college/university. Please use one form per positive case. To report multiple cases, please call 734-544-6700. After submitting this survey, the Washtenaw County Health Department will contact you within 1 business day.

2. Please provide the following information about the location affiliated with the positive case: *This question is required.
3. Type of school: *This question is required.
4. Please provide the following information about the COVID-19 positive case: *This question is required.
5. Is the positive case a student, teacher/faculty member, or other staff member?  *This question is required.
6. Have you identified close contacts?  *This question is required.