Quarantine & Isolation Tracker: Contractor

This form should be used by campus partners to report a positive COVD-19 test or diagnosis for staff meeting one of the following criteria: (1) The individual was on campus 48 prior to or since symptom onset? (2) The individual on campus 48 hours prior or since a test was completed? (3) Campus visit status for the individual is unknown?

Reporting Individual's Information

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Campus Satus*

Was this individual on campus 48 prior or since symptom onset? If asymptomatic, was this individual on campus 48 hours prior or since a test was completed?

Please indicate your relationship with the university

Contractor
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