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2022-2023 K-12 COVID-19 Testing Program Participation, F-03054 (06/2022)

The Wisconsin Department of Health Services (DHS) will offer COVID-19 testing for school districts (districts), private/independent charter schools (schools), their students and staff for the 2022-2023 school year.

Districts and schools can enroll in the program through this form, which will take 10-15 minutes to complete. We ask for one person to fill it out from your district or school. Partial responses can be saved and returned to using the "Save and Continue Later" function at the top of each page.

INFORMATION REQUESTED: This form collects information about your district's or school's preferred testing types, services and schedules. All responses are confidential to the extent allowed by Wisconsin Open Records Law.

DISTRICTS/SCHOOLS ENROLLED IN COVID-19 TESTING DURING 2021-2022: Districts and schools that participated in the K-12 COVID-19 Testing Program during the 2021-2022 school year must complete this form to access testing support for the 2022-2023 school year.

For more information on COVID-19 testing support for K-12 schools, please visit DHS COVID-19: K-12 School Testing Program web page or contact