Employee COVID-19 REPORTING FORM
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Do you have symptoms of COVID-19? *
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Have you been exposed to someone who has tested positive for COVID-19? *
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Please answer the questions below for each person you have had direct contact with for less than 6 feet and for 15 minutes or more (accumulatively).  Only submit information if the contact was an NBISD employee(s) and/or student(s) since symptoms began or diagnosis was confirmed.

*Please complete a new form if you have more than 10 contacts to report.
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