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COVID-19 Report Form

Please complete the information below as accurately and completely as possible.

If you are reporting another individual, please remember to keep all information strictly confidential.

Thank you for helping us in the battle against this pandemic!

This report is about:(Required)
Who is making this report?(Required)

Are you vaccinated?
Vaccination status determines the protocol for exposure, but is optional for you to provide. If you do not provide your vaccination status, we will have to assume you are NOT vaccinated and will implement the necessary protocol.

Information on Individual Affected by COVID-19

Name of Affected Person(Required)
Affected Person Role at Tropicana Student Living(Required)

If you are NOT self-reporting, please do NOT ask the affected person if they are experiencing these issues. Answer only using information you know right now.

Symptoms of COVID-19 include a wide range of presentations, including but not limited to:

  1. Fever or Chills
  2. Cough
  3. Shortness of Breath or Difficult Breathing
  4. Fatigue
  5. Muscle or body aches
  6. Headache
  7. New loss of taste or smell
  8. Sore throat
  9. Congestion or runny nose
  10. Nausea or vomiting
  11. Diarrhea
  12. Trouble breathing
  13. Persistent pain or pressure in the chest
  14. New confusion
  15. Inability to wake or stay awake
  16. Bluish lips or face

Read more at The CDC Website for COVID Symptoms.

Has medical care been sought?
Was there a lab test with a Positive result for COVID?
Accepted file types: jpg, png, pdf, jpeg, heic, Max. file size: 80 MB.
You may upload your test results document, as Tropicana uses a confirmed test date as the starting point for the full 10 day isolation. This document is NOT required, and without it, the full 10 day isolation period will begin on the date we receive this report.

Information about YOU

Your Name

The information provided in this report will be protected and kept private to the full extent possible.

Information will be used by Tropicana Student Living designated officers for Risk Management and to support the health and safety of the Tropicana Student Living communities. Please ensure you have provided accurate information that can be used to help protect others.

Information may also be provided to the local Health Authority.

Tropicana Student Living Forms

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