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COVID-19 Notification Form


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Report information regarding people who test positive, exhibit symptoms, believe they have been exposed to COVID-19, or have been directed to isolate or quarantine by a healthcare provider or public health.

For more information on the college's response to COVID-19 go to: https://www.nicc.edu/about/consumer-information/coronavirus/.

Note: This information is confidential. The college will follow the proper procedures for follow up and notification.

***Employees requesting time off related to COVID-19 must also complete an Etrieve COVID-19 Notification & Leave form. ***


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