Employee Form for COVID-19

This secure form is for employees to report when they have tested positive for COVID-19 themselves, or been exposed to a person with COVID-19, or become ill with any COVID-related symptoms – even if you are working remotely. The report will be treated as confidential and routed only to the district Human Resources office and, for De Anza employees, the Student Health Services clinician.

  • If you need to report a case involving a student, please use the separate form
  • For more information about employee COVID-19 protocols, please visit the district Human Resources site
  • If you have received a positive test result for COVID-19, please upload a copy of your test result through the PyraMED Health Portal: Log in to deanza.studenthealthportal.com/ and click the "Upload" tab.

Please indicate your primary work site:*

Are you reporting a positive COVID test result, COVID symptoms or an exposure or close contact with someone who’s had a positive test result?*

You must log in with your CWID and MyPortal password to continue.

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