Quarter 4 Student COVID-19 Self-Certification Attestation Form

Chicago Public Schools (CPS) will be following the Illinois Department of Public Health (IDPH) and Illinois State Board of Education (ISBE) and requiring parents/guardians to conduct a daily health screening prior to their child arriving at school each day. This form, in English and Spanish, acknowledges that parents/guardians will conduct a daily symptom screening of their child, must be completed and submitted to the school by Friday, April 29, 2022. The form will be in effect for the fourth quarter of SY21-22.