Otero College COVID-19 Employee Report
Name
*
First Name
Last Name
S#:
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Nature of Report (What are you reporting?)
*
I have symptoms
I have tested positive for COVID-19
I believe I have been in close contact with someone who has COVID-19
Additional Information or State Your Question(s) Here:
Submit
Should be Empty: