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2022-2023 K-12 COVID-19 Testing Program Participation, F-03054 (09/2022)

Before completing this form, please review the updated program information on the website: COVID-19: K-12 School Testing Program.

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.


Questions? Contact DHSK12CovidTesting@dhs.wisconsin.gov.