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COVID-19 Reporting Form
Please use this form if you are an employee or a manager reporting a positive COVID-19 or exposure case to CSUEB
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Email
*
Your email
Are you reporting a positive or exposure COVID-19 case to CSUEB?
*
Yes
No
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Was COVID-19 diagnosed by a healthcare provider or confirmed with a COVID test?
*
Yes
No
Unsure
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This form was created inside of Cal State East Bay.
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