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:
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.
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If you are a Cal Poly state employee (faculty, staff or student employee):
- Complete the COVID-19 Online Reporting Form or ask someone to report on your behalf.
- Do not come to work until you are no longer infectious. Notify your supervisor. If you have questions about determining a return-to-work date or testing call 1-877-258-2111 or email hrendell@calpoly.edu. If you have questions about leave benefits, contact your HR generalist.
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If you are a department chair/head or appropriate administrator and are notified by an employee that they tested positive, are experiencing symptoms:
- Ensure the COVID-19 Online Reporting Form is completed. The Employee’s supervisor can submit the online form on the employee’s behalf.
- If you have questions about determining a return-to-work date or testing call 1-877-258-2111 or email hrendell@calpoly.edu. If you have questions about leave benefits, contact your HR generalist. Assure them that their health information will be kept confidential. Do not share this information with others.