Health Self Reporting Form
Please fill out this questionnaire if you have any reason to believe you have been exposed to the COVID-19 virus OR if you have recently traveled outside the United States*. A staff member will be in touch with you regarding next steps depending on your responses.
*Nebraskans returning home from international travel (excluding healthcare workers, commuters, and other unique groups as defined below) should self-quarantine and self-monitor for 14 days upon return/arrival. Those staying less than 14 days in Nebraska should self-quarantine and self-monitor for the duration of their stay. (Nebraska Department of Health and Human Services)
**Note: Only complete the form if you have experienced symptoms, been exposed or have recently traveled outside the United States.