EUSD Staff COVID-19 Reporting Form
Use this form to report all staff positive COVID-19 results. The district will contact you regarding return to school within one business day.
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Email *
IMPORTANT: Do not return to work until you have received a return to school date from the district.
1) COVID-19 positive staff must stay home for at least 5 days after the date symptoms started or test date (if asymptomatic). Staff may return on Day 6 with a negative rapid antigen test on Day 5.
2) Without a negative test result, COVID-19 positive staff may return to school on Day 11.
Staff Member Name (Last, First) *
Which school site? *
Staff member date of birth *
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Date of Positive COVID-19 Test (Sample collection date) Email test results from a lab or a photo of your at-home test, with your name, test date and time to Lori.alguire@eusd.net *
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Type of Test
Do you have symptoms of COVID-19? Possible symptoms include fever, chills, cough, shortness of breath or difficulty breathing, fatigue, muscle or body aches, headache, new loss of taste or smell, sore throat, congestion or runny nose, nausea or vomiting, and/or diarrhea .
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If yes, when did symptoms start?
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What was the last day you attended work? *
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Please list any school related close contacts (individuals you shared indoor airspace with for 15 minutes or more during the 48 hrs. before symptoms started or asymptomatic test date). *
Do you have any household members who attend school in EUSD? If so, list their name(s), school(s), and vaccination status.
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