This form should be used by students and employees (to include contractors and vendors) who are reporting that they have received a positive test result for the coronavirus, are experiencing symptoms of the virus, or have been exposed to a person who has symptoms or a positive test result for COVID-19.

You may be completing this online form yourself or talking to a member of the LPA COVID-19 Notification Team. Whatever your circumstances, LPA wants to help direct you to the proper resources for your health concerns, ensure that you receive the appropriate educational or employment accommodations, as needed, and protect our campus community.

Please understand that in the process of completing this self-reporting from or while speaking to a COVID-19 Response Team member, LPA and its employees are not providing medical advice. You should check with your primary medical provider for question for concerns specifically related to your health.

Once your form has been submitted, a member of the Notification Team will follow up with you.