COVID-19 Positive Case Reporting Form
Welcome to the COVID-19 Response and Compliance Positive Case Reporting Form. In order for us to expedite your positive case report, please complete this form to the best of your ability as soon as you have a positive test result. If you do not know an answer to a question, choose other or type "I don't know". Our Team will follow up with you via email or phone call. The information you provide on this form is confidential and only the COVID-19 Response and Compliance Team will have access to this information. 

For more information or if you have any questions, please see our Cabrillo College COVID-19 Webpage
Email *
Are you reporting for yourself or for someone else who has tested positive for COVID-19? *
Is the person who has tested positive a student, an employee, or a student-employee? *
What is the College ID number for the positive case? What is their name?
What is their email address or phone/text number?
 *
When did the positive case test positive for COVID19? Please provide full date (Monday, November 27) *
When did the positive case first experience symptoms? Please provide full date (Monday, November 27) *
Please keep in mind that a positive case would have been infectious during the 24 hours prior to the onset of symptoms. Was the case on campus any time during the 24 hours before symptoms began? *
If the positive case was on campus any time during the 24 hours before their symptoms began, what where the specific dates, arrival and departure times, and specific locations? *
Please refer to the Cabrillo College COVID-19 webpage for further instructions about how long to remain off campus and under what conditions the positive case can return. Do you have any questions? *
What is the best way for us to reach the positive case? Once we receive this report we will contact the positive case as soon as possible. Thank you! *
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