Illness and Quarantine Reporting Form

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

  • ISOLATE
    • In an effort to keep campus as healthy as possible from all illnesses, it is important that you isolate if you are feeling sick in any way. This means you should only attend class remotely, fill out the illness reporting form, wear your mask and avoid other individuals. 
  • REPORT SYMPTOMS
    • When you are experiencing any symptoms of COVID-19 or any illness, it is important to immediately fill out this Illness and Quarantine 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 your 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 are unvaccinated and have been exposed to a COVID-19 positive individual
  • You test positive for COVID-19
About the Individual

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

Quarantine Location
Symptom and/or Exposure History

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

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

Next Steps

Based on the information you have provided, 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 the onset of symptoms or positive test result.

Based on the information you have provided, no formal quarantine required, monitor symptoms, and if symptoms develop, test immediately.

It is recommended that you wear a well-fitting mask at all times when around others for 10 days after close contact with a COVID-19 positive individual.

Based on the information you have provided, 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 10days after the onset of symptoms or positive test result.

Based on the information you have provided, get tested immediately, and isolate while awaiting test results. Isolation will end five days after your symptoms began. When you return to normal activities, you 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 the onset of symptoms or positive test result.

Based on the information you have provided, formal quarantine required for 5 days, monitor symptoms, and if symptoms develop, test immediately.

It is recommended that you wear a well-fitting mask at all times when around others for 10 days after close contact with a COVID-19 positive individual.

Based on the information you have provided get tested immediately and isolate while awaiting test results. Isolation will end five days after your symptoms began. When you return to normal activities, you 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 the onset of symptoms or positive test result.

Please send any questions to covidstudenthealth@fairmontstate.edu

Please send any questions to kholladay@fairmontstate.edu