HR Notification of Staff COVID like symptoms/COVID positive/Close Contact
After submitting responses, affected employee will receive an email with further instructions. Please also notify your supervisor and campus nurse. It may take up to 48 hours for us to contact you. Please be available by phone or district email, especially during business hours.  There is no need to follow up this notification with a telephone call or email. If you are having life threatening symptoms, please seek medical care immediately and/or call 911.
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Email *
Employee Campus (please use initials only ex: CRES) *
Employee Last Name *
Employee First Name *
Employee phone number: *
Employee Badge Id: (ex. xxxx) *
Which COVID category best describes employee status? *
Last time on campus *
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DD
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Name of person completing this form. *
If not self, who is reporting for the affected employee? *
Additional comments (example: when symptoms started or when close contact occurred) Any and all information is very helpful.
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