COVID-19 Reporting Only
Covid Reporting AND Absence
Travel Requiring COVID 19 Quarantine:
If the staff member or anyone in their household has traveled to any state that is currently on the list of states that NJ has quarantining requirements for, please report in the BOX ABOVE:
1. WHO in the household,
3. DATE of travel and Length of time spent there, and
4. PRECAUTIONS taken in the household to quarantine.
The Nurse will contact you for further info. and with next steps.
Possible COVID-19 Exposure/Positive Testing:
If you believe you or anyone in your household has possibly been exposed to COVID-19, or if someone in your household has tested positive, reporting this is required here. Please report in the BOX ABOVE: 1. WHO in the household was possibly exposed or tested positive, 2. DATE of possible exposure or positive test, and 3. HOW possibly exposed. The Nurse will contact you for further info. and with next steps.
STAFF ABSENCE REPORTING:
Date(s) For Absence Request, include month, date, year*
Period of Time*
Other time period, state in Comments below
Type of Absence*
Funeral for immediate family
Other (write in Comments)
Duties That Need to be Covered (Carline, Bus, Lunch, D-Hall, Detention, Before Care, After Care...)
Lesson Plans Will be Left Where
Additional Info/Comments/Reason for Personal Day Absence