COVID-19 Report Form for Licensed Child Care Centers & Licensed Family Child Care

Please complete this form weekly for suspected COVID-19 cases in your child care facility. If your child care facility is licensed to serve MORE than 40 children, or you are reporting for a different facility type (school, certified child care, other) please email

MDH has posted a narrated training, transcript, and slide set with detailed instructions on COVID-19 reporting for school and child care settings:

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