Notification of COVID-19 Case

*If you are unwell or are symptomatic in any way (regardless of how insignificant it may seem), have been exposed, are waiting on test results, or have tested positive - STAY HOME.

Coronavirus Hotline Notification of COVID-19 Case

First Name

Last Name

Phone Number

Cameron Email Address (Note: All communication from the Hotline will be via your assigned @cameron.edu email)

Are you a Cameron University Student or Employee?

CU ID#

Which Cameron University campus do you normally attend/work?

If you are a student, do you live in Student Housing?

Have you been exposed to an individual with COVID-19?

If exposed, does the individual who tested positive for COVID live in your household?

What was the date you were last exposed to an individual that tested positive for COVID? (mo/day/yr, if no exposure, type N/A)

Do you plan to be tested for COVID-19?

Date of planned testing or date tested (mo/day/yr, or type "Not testing")

Date received results (mo/day/yr, or type "Results pending" or "Not testing")

Test Results

Are you currently experiencing COVID-19 symptoms?

(For more information on COVID-19 symptoms, please visit https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/symptoms.html)

What date did your COVID-19 symptoms begin (mo/day/yr, or type “No Symptoms”)?

What is the date you last attended in-person classes? Please list each class you attended in-person and the last date you physically went to each class. (Example: mo/day/yr, ENGL 1213)

If you have tested positive for COVID-19 or are experiencing symptoms, are there other individuals from the CU Campus Community that could be affected? (i.e., students, instructors, roommates, teammates, co-workers, etc.) Please list those individuals. If none, type "None"

Have you been fully vaccinated for COVID-19? (Fully Vaccinated = Completion of all necessary doses according to the vaccine type, plus 14 days after the last dose.)

When was the date of your final COVID vaccination dose? (mo/day/yr, this date is important to determine isolation/quarantine criteria. If you are unvaccinated type N/A)

If you have received a booster, what was the date you received that booster? (mo/day/yr, this date is important to determine isolation/quarantine criteria. If you are unvaccinated type N/A)

Are there any other details you can provide? (examples: "I'm a student worker" (incl. dept) , "I'm an athlete" (incl. sport type), etc.)

Terms & Conditions

I understand that if I am experiencing COVID symptoms, have tested positive for COVID, or have been exposed to COVID, I am required to quarantine until contacted by the appropriate university office with appropriate instructions.

I Agree