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K-12 COVID-19 School Self-Reporting Access Request Logging
Access Request Form Instructions
  • Each individual that will be responsible for completing the COVID-19 school self-reported daily should complete this access request form. Remember to complete all required fields (identified by an asterisk (*)) and select the ‘Submit’ button at the bottom of the form.
  • Email: If you already have a Kentucky Online Gateway (KOG) account, you should use the same email address. If you do not have a KOG account already, you may need to create one. If you are unsure, we will let you know. It is recommended that you use your school assigned email address.
  • Phone Number: This phone number provided may be used if we need to contact you regarding your access and/or account or if there are questions related to the school self-reported data you have provided. Phone number format should be (000) 000-0000 followed by x0000 if an extension is necessary.
  • School Name: Spell out the school name, do not abbreviate.
  • Please Note: Once you ‘Submit’, you will not be able to edit, please validate that the information provided is accurate. You only need to submit one form.
Requestor Information
First Name:
*
Last Name:
*
Email:
*
Phone Number:
*
School Name:
*
School District:
*
County:
*
Notes:
 
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