Staff COVID-19 Reporting Form

Please note this is the Staff form.  If you are a Student, please use the link to the Student Form.

A copy of this form will be sent to your line manager, the Director of Operations/Head of Division for your area, and the Staff Health & Wellbeing Team.  However, you should also verbally notify your line manager.  In addition to completing this form all sickness absence (including where this is due to COVID-19) must be recorded on SAP (ESS or MSS) as either:

*     Coronavirus – confirmed by health professional or
*     Coronavirus – suspected in line with the latest guidance on symptoms.

The University needs to collect information for all staff, including Unitemps workers, who:

  • Have received a positive test result for COVID-19 or
  • Are isolating as a consequence of the latest government guidance.

Please note this form does not replace your responsibilities in respect of the NHS Test and Trace process.

Notification Type   Please select one of the options below. If your situation changes, please complete another form.


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Further guidance is also available from the Government's website at www.gov.uk/coronavirus.

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