Coronavirus Positive Case Report Name* First Last PhoneEmail* Division* Who is the positive case regarding?*MyselfA Co-WorkerIs your supervisor aware of this case?* Name of the COVID-19 Positive Individual* First Last This is confidential and will only be submitted to HR and the Executive Office, as per HIPPA regulations. When was the last time this person was in the ODAFF Building?*Which floor is the individual's desk located?*First Floor - main wingSecond Floor - main wingThird Floor - main wingFirst Floor - lab wingSecond Floor - lab wingThird Floor - lab wingPlease list any individuals this person may have been in contact withAny additional information we may need to know?CAPTCHACommentsThis field is for validation purposes and should be left unchanged.