COVID-19 Case Notification Form

Information will be used by Owens Community College for emergency management-related purposes for the health and safety of the Owens community in accordance with applicable privacy rules. Owens Community College will take every effort to protect personally identifiable information shared in this document and will not disclose your identity or the identity of anyone with a coronavirus diagnosis unless disclosure to safety and first aid personnel is required for emergency treatment or is otherwise required by law. The College may be required to report details, such as temperatures, symptoms, or diagnoses, to public health authorities and other governmental agencies. For information about what to do if you think you are sick or to protect yourself, visit