If you have symptoms of Covid-19 and need to self-isolate, it is important that the University College is made aware as soon as possible.
Upon completing and submitting this form, results will be sent to firstname.lastname@example.org, so that all cases of Covid-19 in our community of staff, students and visitors can be tracked. It will allow us to take swift action where appropriate to minimise the risk to others.
It will also enable us to liaise with external bodies such as Public Health England and Local Authorities to ensure that actions are effective and proportionate.
Please be assured that the information received will be dealt with in a highly confidential manner and will only be seen by staff managing the University College’s response to any outbreaks, or potential outbreaks, of Covid-19 in our community. For more details please review AECC Covid-19 self-reporting form privacy notice.
Your Contact Details
In any of these situations listed below, it is important that you do not return to campus until it has been confirmed that you may do so.
If you have developed symptoms of Covid-19, you must contact the NHS to arrange to have a test. Please let us know the outcome of the test (whether positive or negative) within 48 hours by emailing email@example.com.
Reason for Absence (Please tick all that apply)
Have you been tested for Covid-19? (Please tick relevant box)
By submitting this form (pressing finish) you consent to our processing the provided information for the purposes stated at the start of this form. This may include passing information to national bodies eg NHS England, for the purpose of public health. Please review our Covid-19 self-reporting form privacy notice here for further information on how we will process your personal information regarding this specific activity and what your rights are.