Report A Confirmed Case of Covid

Please use the form below to report a pupil with a confirmed case of Covid.

What are you notifying us of?*
Name (Parent/Carer/Staff)*
First Last
Email Address*
Phone Number*
Pupil's Name*
Pupil's Tutor Group (eg: 7A)*
Who has received a confirmed POSITIVE test for COVID-19*
Who has received a confirmed NEGATIVE test for COVID-19*
Date of Positive Covid-19 Test*
Date Format: DD slash MM slash YYYY
Date of NEGATIVE Covid-19 Test*
Date Format: DD slash MM slash YYYY
IMPORTANT - Please upload below, a photograph or screen-grab of the result.
Drop files here or
You can upload multiple images/screen-grabs if necessary.
When was the last time there was close contact with that person?*
Date Format: DD slash MM slash YYYY

(Close contact is deemed to be within 2m for 15 minutes or more - or within 1m for 1 minute or more)
Have you been requested to self-isolate by Track and Trace?*
Is someone displaying symptoms within your household?*
Please see here for information from the NHS on symptoms of Covid19.
When did the symptoms start?*
Date Format: DD slash MM slash YYYY
Has a test been booked for that person?*
When has their test been booked for?*
Date Format: DD slash MM slash YYYY
Please provide any other relevant information
Please see here for information on self-isolation and treatment from the NHS.
Phone
This field is for validation purposes and should be left unchanged.