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COVID-19 Reporting Form

for Cal Poly Faculty, Staff, and Student Assistant Employees

Cal Poly Employees working on campus must report if they test positive for COVID-19, and have been on campus in the past fourteen (14) days. Please access and submit the COVID-19 REPORTING FORM below:

COVID-19 Reporting Form

This form requires that you first authenticate with the Cal Poly Portal.

Login to view & submit the reporting form

Your personal health information will be kept confidential and will only be shared as required by law.

Auxiliary employees, including ASI and CPC, DO NOT COMPLETE THIS FORM. Please consult with your appropriate Human Resources Department for details on how to report.