If you test for COVID-19 and receive a positive result, or if you are named a contact of a positive case by a health official, please complete the entire form below.
Please review the following information prior to completing the form:
- Employee positive test result forms are sent to the Human Resources Office and the Director of Health & Safety only. Employees who test positive for COVID-19 will be contacted by the Human Resources Office in regards to work from home and return to work plans.
- Student positive test result forms are sent to the Director of Student Health Services, Executive Director of Housing & Student Life, Registrar, and Interim Vice President of Student Affairs and Enrollment Management. Students who have tested positive must remain off campus until they are cleared by Student Health Services to return to campus. Residential students are expected to travel home until they are cleared to return to campus.
Information on all positive test cases may be shared, in a limited manner to preserve the privacy of the individual, with members of President’s Cabinet and the COVID Task Force.
All guidelines and decisions regarding COVID-19 are based on guidance from the CDC, state and federal government with the primary goal to keep our campus community safe. WLU appreciates your adherence to those guidelines. If you have questions, please email email@example.com.
If you have any problem seeing the form below, please try to access through Google Chrome or Microsoft Edge. If you continue to have difficulty, email firstname.lastname@example.org for assistance (students and employees) since this office created the form. Thank you.
*PLEASE NOTE: Protocol is subject to change