COVID-19 Reporting Form

COVID-19 Reporting Form

We ask that all employees and students complete the form below if they have have been diagnosed with COVID-19 or any other respiratory illness, or  have had contact with someone who was identified as having COVID-19. If the employee or student is incapacitated and cannot complete the form, someone may complete the form on their behalf.

The college community will be notified of any confirmed cases of COVID-19 at CSM if students and/or employees may have been in danger of exposure. Any questions may be directed to hrd@csmd.edu or 301-934-7700.

 

Please complete the form below:

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