Request edit access
Covid-19 Exposure Reporting Form
Please submit one form for each individual. If there is a required answer and it does not pertain to you, please write N/A.

Complete this form to submit your notification of an EXPOSED COVID-19 individual (for Mater Dei students and staff only).

You will be notified via the email provided on this form of your quarantine/isolation dates within 24-48 hours (responses are not managed outside of school hours).

Your information will be kept confidential. Thank you for helping to keep our Mater Dei community safe.
Sign in to Google to save your progress. Learn more
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Mater Dei High School. Report Abuse