Symptom Self Certification

Parents and guardians will be required to complete a one-time, symptom self certification form prior to the start of school. Please include the name of each of your students who attend a D155 school on the form. Please complete the form below and drop it off prior to the first day of school on August 11, 2021.

By sending your student on District transportation and/or to a school on any given day, you are certifying that your student has received a daily symptom screening and satisfies all the criteria on the form. If your student does not meet all the criteria, you will notify the school of your student’s absence and the reason for the absence.

Please note: This page contains links to documents that are in Adobe's PDF format.  If you have accessibility needs that make it difficult for you to access and / or interpret information in PDF format, please call 815-455-8500 or email, and we will be happy to assist you.