Please report your COVID-19 incident by completing the information below.
(Note: Required fields are denoted by *)
Student, Employee, or Other?*
Must be 7 numbers, including zeros
First and Last Name
Provide the date you were last physically on campus
If unknown or not applicable, go to next question
Common symptoms: Sore or scratchy throat, runny nose, headache, fatigue
This is the date the test was taken, not the date results received
Please also provide clarification in the "Describe COVID Incident" field below
Provide more info: Specific class/meeting/activity attended, which campus location, and names of people possible exposed/involved
The best way to reach you for more information, if needed