Quarterly Attestation Form

  • image of form For students returning to in-person learning, a parent or guardian must fill out a Quarterly Attestation Form and submit it to their teacher. The form will be kept on file in the office and will need to be updated quarterly.

    By signing the form, parents/guardians are attesting they will check their child daily for all symptoms of COVID-19. They agree not to send the child to school if they have any symptoms, if they have had close contact with someone with COVID-19, or if they have been told to self-monitor, isolate, or quarantine.

    Download the Quarterly Attestation Form here: English |  Spanish | Vietnamese | Arabic | Russian

    If you do not have a printer, please contact your school's main office.

Frequently Asked Questions

  • For those families who did the form in the first couple stages – it says January-March. From them, do they have to submit the new form by March 15, or by the end of March?

  • Which form do we use if we end up with students who do not turn in an attestation form by March 12th?