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FEBRUARY 2021Risk and Safety ServicesCOVID19 Elementary Student Attestation Form Supplemental Document for: COVID-19 Supervisor, Attestation & Screening Coordinator The Washington Departments of Health
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How to fill out covid-19 elementary student attestation

01
Obtain the covid-19 elementary student attestation form from the school or download it from the school website.
02
Fill out the student's name, grade, date of birth, and contact information.
03
Answer the questions regarding the student's health and exposure to covid-19 accurately.
04
Sign and date the attestation form as the parent or guardian of the student.
05
Submit the completed form to the school administration or designated personnel.

Who needs covid-19 elementary student attestation?

01
Elementary students attending in-person classes need to fill out and submit the covid-19 elementary student attestation to ensure a safe learning environment for everyone.
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Covid-19 elementary student attestation is a form or document where parents or guardians confirm that their elementary school student does not have COVID-19 symptoms and is fit to attend school in-person.
Parents or guardians of elementary school students are required to file covid-19 elementary student attestation.
To fill out covid-19 elementary student attestation, parents or guardians need to provide information about their student's health status and symptoms.
The purpose of covid-19 elementary student attestation is to ensure that students attending in-person school are not showing symptoms of COVID-19 and are safe to be in the school environment.
On covid-19 elementary student attestation, parents or guardians must report their student's current health status, any symptoms they may be experiencing, and whether they have been in contact with anyone who tested positive for COVID-19.
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