jump to search jump to main content

COVID-19 Notification Form

Maxient

  • This Task has been optimized for mobile devices.Mobile Friendly
  • This Task has been designed for use by all roles. For all roles

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. ***

Screenshots

Latest release -

No Release Notes.

User Reviews

No User Reviews.
  • Response from
    (This response may not apply because the review has been edited.)

Ratings

v
stars out of 5
Ratings
stars
% of ratings are stars
 Back to top