Please complete this form if:

  • you have received notification of a POSITIVE Covid-19 test
  • you have received notification of a NEGATIVE Covid-19 test
  • you have symptoms (high temperature, a new or continuous cough, loss of sense of smell/taste)
  • you have been told by the NHS or University Test and Trace systems to self-isolate
  • you are voluntarily self-isolating as you think you may have been at risk

When you have submitted the form please telephone the Porters to confirm this on 01223 332800.

**Please complete a new form each time you receive a result, develop symptoms or are contacted through test and trace**

You can find information on how to order food on the Intranet COVID-19 pages

Peterhouse processes and stores personal information in accordance with data protection legislation and in accordance with the College's Data Protection Policy including the Data Protection Statement for Students which can be found on the College website. By completing and submitting this form you are consenting to the use of your data in accordance with these policies.

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Building/staircase name and room number
Your household number can be found on your door
(This should be the day you first had symptoms; were asked to self-isolate; received a positive test)