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UCLA Community Screening Additional Contacts
Please fill out this form to add new contacts to the Community Screening Program for COVID-19 Testing (or to remove prior contacts select the last option)
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Contact First Name
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Contact Last Name
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Your answer
Contact UID (nine digit university ID number)
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Email
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Your answer
Contact should be tested twice weekly because (check all that apply)
Students living in on-campus, University-owned housing
Undergraduate students living in off-campus, University-owned apartments
Faculty-in-Residence
Faculty, TAs and students involved with in-person courses
Faculty working on campus (one day a week or more)
PreK-12 faculty and staff who are onsite
PreK-12 students over the age of 5
Essential staff (those working full or part-time- one day a week or more)
Students involved in the research ramp-up
Faculty and staff involved in the research ramp-up
Contact should be tested every two weeks (every 12-16 days), because (check all that apply)
Graduate students living in off-campus, University-owned apartments who do not fall in at least one of the above cohorts.
Contact should be tested voluntarily (encouraged to test regularly) because (check all that apply)
Students living in fraternity and sorority houses and not part of any cohort listed above are strongly encouraged to undertake asymptomatic weekly (5–9 days) testing (cannot be mandated),
Graduate and undergraduate students living in the vicinity of campus and not part of any cohort listed above are encouraged to undertake asymptomatic weekly (5–9 days) testing, and
UCLA faculty, staff and students working in remote University locations without easy access to the Westwood campus testing sites are encouraged to test every two weeks (12–15 days) using community testing options. In such circumstances, testing facilities should bill to the employee’s health insurance to avoid any cost to the employee.
Essential staff working less than one day a week on campus
Faculty working less than one day a week on campus (and not teaching in person classes)
Contact should be removed from the Community Screening Program because...
They are working completely remotely on non-university owned property and not visiting campus
They do not live in university owned housing, do not come to campus for any reason, and do not work on campus
They live in university graduate housing, but am a DGSOM student (or resident/fellow) with a clinical rotation that prevents me from being tested through UCLA’s program
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