Reporting Coronavirus (COVID-19) Diagnoses
Members of the Maricopa County Community College community must notify Risk Management if they are diagnosed with COVID-19 or if they believe they have been exposed to COVID-19.
All information that we discuss in correspondence or in any future communications will remain confidential as required by law. Your personal information will be kept confidential and any notifications made will not include any personal identifiable information other than permitted under ADA.
If you have been confirmed positive, experiencing COVID-19 symptoms, or believe you have been exposed to COVID-19, you must self-report to Maricopa Community Colleges Risk Management by using the COVID-19 reporting forms below.
Reporting Form Instructions
When do I submit the form?
Those affected by COVID-19 (meaning: having a potential exposure, experiencing COVID-19 like symptoms or having received a positive COVID-19 test result) must reported as soon as the are made aware that they have been impacted by COVID-19. Do not wait until you test to submit the online form.
Which form do I complete?
- Potential Exposure to COVID-19: If you have been within six feet of an individual with a Confirmed case of COVID-19 for 15 minutes or more, regardless of the use of face coverings and are asymptomatic, please complete the Potential Exposure to COVID-19 form.
- Symptoms or Confirmed Case: If you have received a positive COVID-19 test result or if you have symptoms consistent with COVID-19, please complete the Report COVID-19 Symptoms or Confirmed Case form.
How do I fill out the forms?
Please enter N/A for questions that are not applicable. If you do not know the answer, please indicate "I do not know." Once the COVID-19 form is submitted, an auto-generated email will be sent to the email address that is entered on the form. If the email is not received within minutes of submitting the form, please check your SPAM or JUNK folder. The Maricopa Community Colleges Risk Management Office will review the information and may follow up with the individual for additional information.
Who can fill out the forms?
It is preferred that the affected individual fill out the form themselves. If they are unable to fill it out, the MCCCD employee that was notified of the COVID event may fill it out for the individual. If an MCCCD employee is submitting the form for another individual, the employee needs to enter the COVID-19 affected individual’s information that they are filling it out for; the employee should not their own information.
Questions around this process may be submitted to Risk Management via email at firstname.lastname@example.org or by calling Lisa Laird at 480-731-8947 or Sheri Swain at 480-731-8879.
Note: This is confidential information. Please do not disclose or discuss with any other party. Risk Management will follow the proper procedures for follow-up and notification.