Terrell ISD COVID-19 Employee Health Reporting Form (effective 9/1/2020)
Please complete the form with as much information as possible.
Email address *
Name of person completing form.
Last Name of Employee confirmed, suspected, or exposed to COVID-19 *
First Name of Employee confirmed, suspected, or exposed to COVID-19 *
Department/Campus *
Street Address *
City *
Zip Code *
Employee Telephone Number *
Is the employee symptomatic or tested positive for COVID-19? *
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