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COVID-19 – Report a Case

This online form is for members of the EWU campus community to self-report a confirmed or suspected case of Covid-19, or for reporting close contact with a person affected with Covid-19.

Community members may report Covid-19 cases using this online form, by calling 509-359-6900, or by emailing the University Risk Manager at riskmanager@ewu.edu

Covid-19 Case Report

THIS FORM IS FOR SELF-REPORTING COVID*
Click below to confirm that you are reporting a Covid case for yourself.
- This Covid report is for myself.
Your Name*
Your Phone Number*
Email*
Your Date of Birth
Your Status
- EWU Student
- EWU Faculty/Staff
- EWU Student Employee or GSA
Covid Information
Reason for Report
Note: Close contact is defined as being within 6 feet of a person for 15 minutes or longer within a 24-hour period.
- I have a Confirmed Case of COVID-19
- I have COVID-19 Symptoms
- I have been in close contact with a person with a confirmed case of COVID-19
COVID-19 Test
Have you been tested for COVID-19?
- Yes – Test Result Positive
- Yes – Test Result Negative
- Yes – Awaiting Results
- No – Not Tested
Last Date of Contact with Positive Case
MM slash DD slash YYYY
Date of Test
MM slash DD slash YYYY
Date Symptoms Began
MM slash DD slash YYYY
Hospitalized
Has you been admitted to a hospital?
- Yes
- No
Close Contacts
A close contact is someone that you were within 6 feet of for 15 minutes or longer or someone that lives with you. Please list any of your close contacts here:
Campus Contact
Have you been on any EWU campus two days before symptoms started or anytime since?
Note: You are infectious two days before symptoms began (or test date with no symptoms) until five days after the symptoms began (or test date with no symptoms).
- Yes
- No
Which Buildings and Rooms did you visit?
Please identify each campus building and room that you have visited since two days before your symptoms began. If you have not had any symptoms, identify each campus building and room that you have visited since the date you tested positive.
Do you live on campus?
- Yes
- No
Residence Hall & Room or Apartment
If you live on campus, please enter your residence hall and room number or your apartment number.
Additional Information

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