COVID Surveillance Testing Temporary Exemption

Please complete this form if you are not able to participate in mandatory COVID Surveillance Testing. By completing the following you attest that your reason for missing a mandatory COVID surveillance test(s) is true and understand that making false statements to the university may result in disciplinary action. Failure to participate in required COVID surveillance testing without a valid reason may result in disciplinary action.

Enter your entire G#, including the leading G.
Must end in

You may only request one exemption at a time, and no more than two weeks in advance. For longer term exemptions, seek guidance from the Registrar (students) or your supervisor/HR (employees).

Please select the reason you cannot participate in testing this week:(Required)
If the reasons below don't apply to your situation, please email with your explanation. It will be reviewed and you will be informed whether you are still required to test.