Positive Case Reporting Form

Who needs to fill out this form?

If you are a student or an employee who has:

1. Has tested positive on a COVID-19 test

Please submit this form and be sure to inform (call or email) your professor(s) or supervisor of your situation and that you have submitted this reporting form.

This information will only be accessed, used, and disclosed in accordance with local and state public health authorities, as well as other testing partners as permitted by law and any other party as authorized/required under FERPA and MDH guidelines.

All fields marked with * are required.

Positive Case Reporting Form
* College Affiliation
* (Star ID is required for student or employee)
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