COVID-19 Reporting Form

The number of COVID-19 cases in Maryland is rapidly increasing. In order to understand the impact on college operations, we need employees and students to self-identify when they have been diagnosed with the virus or been in contact with someone who has been diagnosed with the virus.

We ask that all employees and students who have been diagnosed with COVID-19 or any other respiratory illness or who have had contact with someone who was identified as having COVID-19 to complete the form below. If the employee or student is incapacitated and cannot complete the form, someone may complete the form on their behalf.

The college community will be notified of any confirmed cases of COVID-19 at CSM if students and/or employees may have been in danger of exposure. Any questions may be directed to or 301-934-7700.

Please complete the form below: