Staff coronavirus form Staff name* First name Surname Staff best contact number*Staff email address Source of possible exposure to virus*I recently travelled to affected areasI recently had contact with someone who has visited affected areasNot applicableDate I arrived back in Australia* Date Format: DD slash MM slash YYYY Affected areas I travelled to (including dates of travel)*Date of last contact with someone who has visited affected areas* Date Format: DD slash MM slash YYYY Expected return to school date (following 14-day incubation period)* Date Format: DD slash MM slash YYYY Comments
