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COVID-19 – Report a Case

This online form was developed to give the EWU campus community a method for reporting 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

Reporting Person Contact Information
You are not required to provide your contact information. However, it may be helpful for university officials to be able to contact you for additional information.
Name (Optional)
Email (Optional)
Phone (Optional)
Affected Person(s)
Name of person affected with or exposed to COVID-19 * Required
Who is the primary person who you believe has contracted or been exposed to COVID-19?
Phone number or email address of person affected with or exposed to COVID-19
Date of birth of person affected with or exposed to COVID-19 (if known)
Status
Note: Close contact is defined as being within 6 feet of a person for 15 minutes or longer within a 24-hour period.
- Confirmed Case of COVID-19
- COVID-19 Symptoms
- Been in close contact with a person with a confirmed case of COVID-19
- Unsure
- Other
COVID-19 Testing
Has the affected person been tested for COVID-19?
- Yes - Test Result Positive
- Yes - Test Result Negative
- Yes - Awaiting Results
- No - Not Tested
- Unsure
Hospitalized
Has the affected person been admitted to a hospital?
- Yes
- No
- Unknown
Relationship of Person to EWU
Please identify the status of the primary person who has contracted or been exposed to COVID-19.
- EWU Student
- EWU Faculty/Staff
- Non-EWU Employee or Student
- Unsure
Other Persons Exposed
Please identify any other EWU community members who you believe may have been exposed to COVID-19 due to contact with the person identified above. Include yourself if applicable.
Campus Contact
Has the affected person been on any EWU campus within the last 14 days?
- Yes
- No
- Unknown
Which EWU Campus(es) did the affected person visit?
Does the affected person live on campus?
- Yes
- No
- Unknown
Additional Information

509.359.6200 • Contact Information
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