1. Organization Information

  • Please use the form below to request your At-Home Rapid COVID-19 Antigen Tests.
  • Please submit requests for antigen tests on an as-needed basis but no more than once a week per address.
  • Shipments are sent out once a week but can take up to 3 weeks for delivery, and are dependent on available inventory.
  • You will be receiving an email from us with additional information and an estimated delivery date.

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* 1. Please enter your school/program name.

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* 2. Choose your school/program type.

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* 3. Enter your school/program's street address for delivery. Please note the address must be located in Los Angeles County and cannot be a P.O. Box.
Example: 200 N Spring St

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* 4. Enter your school/program's unit or suite number.
Enter "N/A" if not applicable.

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* 5. Enter your school/program's City.

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* 6. Enter your school/program's 5 digit zip code.

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