This form is to be completed by any USF-affiliated individual who has a confirmed positive COVID-19 test and was on campus during the infectious period. Please complete the form with all required information.
Name:
Job Title:
USF Email:
Phone:
** Please enter a valid US Phone number
Date of Positive COVID-19 Test and/or COVID-19 Diagnosis:
Last Day at Worksite On Campus:
Location of Worksite On Campus
Submit