Illness and Quarantine Reporting Form

Please login below to fill out the form.

Are you feeling sick? If so, there are two important things you must do. 

  • ISOLATE
    • To keep campus as healthy as possible from all illnesses, it is important that you isolate if you are feeling sick. Fill out the Illness Reporting Form, wear your mask and avoid other individuals and wait for guidance from the COVID student health liaison, Megan Hawkins, RN or another member of Falcon Wellness and Mental Health Services.

    REPORT SYMPTOMS

    • When you are experiencing any symptoms of COVID-19 (sore throat, headache, fevers, body aches, cough, shortness of breath), it is important to immediately fill out the Illness Reporting Form. This information assists the University’s contact tracing efforts to ensure the safety of our campus community. All students and employees are required to complete this form, regardless of their vaccination status.  

Please note, you must complete this Illness and Quarantine Reporting Form if any of the following applies to you: 

  • You are experiencing symptoms associated with COVID-19. 
  • You test positive for COVID-19.
  • If you have been in close contact with a person who tested positive for COVID-19 within the last 48 hours.
About the Individual

(Note: Student employees will be handled under the Student Services COVID Coordinator, not HR)

Symptom and/or Exposure History

Note:  Please forward a copy to covidstudenthealth@fairmontstate.edu

Note:  Please forward a copy to kholladay@fairmontstate.edu

Quarantine Location
Next Steps

Based on new guidance from the CDC and the West Virginia DHHR, Fairmont State has updated its Isolation (for those who test positive) and Quarantine (for those who had contact with COVID) guidelines. Please see the below chart for the current guidelines. 

COVID Protocol Recommendations

Test Positive Close Contact

Isolate for 5 days and then if asymptomatic/ fever free you may return to normal activities but must wear a mask around others for an additional 5 days.

In total, you must wear a well-fitting mask at all times when around others for 10 days after onset of symptoms or positive test result.

We recommend that students and employees quarantine for 5 days after an exposure to a positive close contact.

If possible, students living on campus should go home or off campus to quarantine. If a student is not able to go off campus, they will be required to wear an N-95 around the close contact at all times and MUST maintain social distancing. 

*A close contact is a roommate, suitemate, housemate or intimate partner living in the same household with a COVID-infected person for at least 24 hours. Additionally, a close contact is considered when there has been more than 15 minutes of time spent within 6 feet of a COVID-infected person. Recommendations based on guidance from the WV DHHR and the CDC.

Please send any questions to covidstudenthealth@fairmontstate.edu

Please send any questions to megan.hawkins@fairmontstate.edu