We ask that direct contractees notify the College and of their COVID-19 related symptoms or need to isolate/quarantine due to COVID-19.

Please complete this form if any of the scenarios below apply to you:

  • you have been or are scheduled to be tested for COVID-19 due to symptoms or exposure
  • you have unexplained symptoms like a fever, cough, difficulty breathing, sore throat, muscle aches, or sense of taste or smell.
  • you were notified by a local or state department of health of a known or potential exposure to COVID-19
  • you have had contact with someone who has tested positive for COVID-19

Notification of COVID-19 Symptoms for Contractors

Notification of COVID-19 Symptoms for Contractors

This form can be used for contractors to inform Carleton Human Resources of any COVID-19 like Symptoms. THIS FORM SHOULD NOT BE USED BY EMPLOYEES WITH A CARLETON EMAIL ADDRESS
  • Do any of the scenarios described above apply to you? * Required
  • Date Format: MM slash DD slash YYYY
  • Human Resources will maintain all information about illnesses as a confidential medical record in compliance with the ADA.
  • This field is for validation purposes and should be left unchanged.