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Negative CoVID-19 Employee Reporting
Please upload your negative CoVID-19 results and a Risk Management member will contact you.
Name
*
First Name
Last Name
Employee ID
*
Email
*
if no email, place N/A
Phone Number
*
Please enter a valid phone number.
Position/Title
*
Campus/Department
*
Please Select
Albright Middle School
Alexander Elementary School
Alief Early College High School
Alief International Academy
Alief Learning Center
Alief Middle School
Athletic Dept.
Best Elementary School
Boone Elementary School
Budewig Intermediate School
Bush Elementary School
Business
Center for Advanced Careers
Central Distribution
Central Special Education Dept
Chambers Elementary School
Chancellor Elementary School
Collins Elementary School
Crossroads
Cummings Elementary School
Curriculum & Instruction
Elsik High School
Elsik Ninth Grade Center
Family & Community Engagement
Hastings High School
Hastings Ninth Grade Center
Hearne Elementary School
Health Services
Heflin Elementary School
Hicks Elementary School
Holmquist Elementary School
Holub Middle School
Horn Elementary School
Human Resources
Kennedy Elementary School
Kerr High School
Killough Middle School
Klentzman Intermediate School
Landis Elementary School
Liestman Elementary School
Mahanay Elementary School
Maintenance Dept.
Management Information Systems
Martin Elementary School
Mata Intermediate School
Miller Intermediate School
Nutrition Dept.
O'Donnell Middle School
Olle Middle School
Outley Elementary School
Owens Intermediate School
Payroll Dept
Petrosky Elementary School
Police
Printing Services
Printing Services
Public Relations
Purchasing
Rees Elementary School
Smith Elementary School
Sneed Elementary School
SOAR/LINC/NHS
Tax Office
Taylor High School
Technology Services
Telecommunications
Transportation
Warehouse
Youens Elementary School
Youngblood Intermediate School
Principal/Supervisor
*
What was your reasoning for testing?
*
Previously tested positive
Exposed
Experiencing Symptoms
Precautionary testing
Were you quarantined due to CoVID-19 exposure?
*
Yes
No
How were you exposed?
*
In-District STUDENT Exposure
In-District STAFF Exposure
Outside District Exposure (family/household/friend)
N/A
Date of exposure OR date you began your quarantine
*
/
Month
/
Day
Year
Did you work remotely during your quarantine?
*
Yes
No
Did you apply for FFCRA?
*
Yes
No
Upload Negative CoVID Results
*
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