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CAMPUS LEVEL CONTACT TRACING FORM (Revised 05/2022)
1. Date
2. NameStudentSELECT
ONE___
Campus ___
___
SID/
Employee #
Visitor
Employee3. Employee Position: ___
4. Home Address:
5. Contact Phone #Email6.
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How to fill out campus level contact -tracing
How to fill out campus level contact -tracing
01
Collect information on the name, contact number, email address, and physical address of the individual to be contacted.
02
Record the date and time of the potential exposure or contact with a confirmed case.
03
Gather details on any symptoms that the individual may be experiencing.
04
Follow up with the individual regularly to track their health status and provide necessary guidance.
Who needs campus level contact -tracing?
01
Schools and educational institutions with on-campus activities.
02
Workplaces with employees working in close proximity to each other.
03
Any organization hosting events or gatherings where people come into contact with each other.
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What is campus level contact -tracing?
Campus level contact-tracing is a process of identifying and monitoring individuals who may have come into contact with an infectious person on a specific campus or educational institution.
Who is required to file campus level contact -tracing?
Campus administrators, health officials, or designated personnel are typically required to file campus level contact-tracing.
How to fill out campus level contact -tracing?
Campus level contact-tracing forms are typically filled out by providing detailed information about the infected individual, their contacts, and any necessary follow-up actions.
What is the purpose of campus level contact -tracing?
The purpose of campus level contact-tracing is to prevent the spread of infectious diseases within the campus community by identifying and isolating potential sources of infection.
What information must be reported on campus level contact -tracing?
Information such as the infected individual's name, contact details, relevant exposure history, and the names of individuals they may have been in close contact with.
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