COVID-19 Exposure Report Template

Use the COVID-19 Exposure Report Form Template from Formsite at your workplace to easily and securely collect the critical data needed to track potential coronavirus exposure incidents. For human resources professionals and others who are responsible for COVID-19 exposure reporting requirements, this incident report form makes it easy to stay apprised of potential COVID-19 cases at your job sites or workplace.

This standard COVID-19 incident report can be tailored to your exact needs, then embedded right on your website, emailed, or posted on social media. Mobile friendly, this Formsite incident report form can be filled out on and submitted from any tablet or smartphone for a convenient, safe contact tracing process. Enable notifications to alert you when an incident report has been submitted so you can disseminate CDC COVID-19 health care protocols to affected individuals.

This sample COVID-19 reporting form collects all the information you need to track exposure incidents, including: name and phone number, suspected date of exposure, date of COVID-19 test, COVID-19 test results, COVID-19 symptoms (e.g. shortness of breath, fever, loss of taste or smell) and whether the employee in question has been in close contact with anyone COVID positive.

All Formsite forms use the latest technology to offer secure connections (SSL / HTTPS) during entry and storage, as well as secure options for viewing and sharing the data. Users can be confident their sensitive information is safe.