Skip survey header

COVID-19 Self-Reporting Form

Welcome

If you have tested positive for COVID-19 or have been exposed to someone who tested positive for COVID-19, use this form to self-report and request a return to work/school letter. 

If you are a parent/guardian who tested positive for COVID-19, please use this form to report your positive test results and report any children who are in quarantine due to your positive test results.

**Due to the high volume of self-report requests, please expect a delay in response. The Livingston County Health Department will respond to self-report forms within 5 business days of receipt**
Which statement best describes your current situation? *This question is required.