COVID-19 Reporting Form

for Cal Poly Faculty, Staff, and Student Assistant Employees

Cal Poly Employees working on campus must report if they test positive for COVID-19, and have been on campus in the past fourteen (14) days. Please access and submit the COVID-19 REPORTING FORM below:

COVID-19 Reporting Form

This form requires that you first authenticate with the Cal Poly Portal.

Login to view & submit the reporting form

Your personal health information will be kept confidential and will only be shared as required by law.

Auxiliary employees, including ASI and CPC, DO NOT COMPLETE THIS FORM. Please consult with your appropriate Human Resources Department for details on how to report.

  1. Complete the COVID-19 Online Reporting Form or ask someone to report on your behalf.
  2. Do not come to work until you are no longer infectious. Notify your supervisor. If you have questions about determining a return-to-work date or testing call 1-877-258-2111 or email hrendell@calpoly.edu. If you have questions about leave benefits, contact your HR generalist.
  1. Ensure the COVID-19 Online Reporting Form is completed. The Employee’s supervisor can submit the online form on the employee’s behalf.
  2. If you have questions about determining a return-to-work date or testing call 1-877-258-2111 or email hrendell@calpoly.edu. If you have questions about leave benefits, contact your HR generalist. Assure them that their health information will be kept confidential. Do not share this information with others.

Human Resources

1 Grand Ave, Building 01, San Luis Obispo, CA 93407

A Human Resources representative is available to speak with you Monday-Thursday, 10am-1pm and Friday 10am-4pm through Zoom. Click HERE to visit the HR virtual front desk.

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© California Polytechnic State University — San Luis Obispo, California 93407 — Phone: 805-756-1111