COVID-19 Notification >COVID-19 Notification COVID-19 Notification I am reporting this positive COVID-19 test resulton behalf of a STUDENTas a STAFF memberCase Classification* Positive Case Household/Close Contact Positive COVID-19 test confirmed by* RAHT PCR Both Date test was taken* MM slash DD slash YYYY Student Name* First Last Cohort Group*Holiday/Vacation CareInfant CommunityPreschoolKindergartenYear 1 - Year 6Student Class* Student Class*Nangkita (6-12 Years)Elouera (3-6 Years)Date last attended school* MM slash DD slash YYYY Student DOB* MM slash DD slash YYYY Students Gender*MaleFemaleParent/Guardian Name* First Last Parent/Guardian Email Address* Parent/Guardian Phone Number* Staff Member Name* First Last Staff Member Email* Date last attended work* MM slash DD slash YYYY Locations Attended Balmain Campus Rozelle Campus Lilyfield Campus I was* Symptomatic Asymptomatic Arrangements during isolation period, please select* I am well and I can work during my isolation period at home I am unwell and cannot work from home during my isolation period Agreement* I will provide a copy of my PCR test result or Service NSW RAHT confirmation by my return to work dateFile*Max. file size: 8 MB.
