COVID-19 attestation for campus visitors
Welcome to Western Washington University!
Western Washington University requires all persons who enter Western's physical locations to complete a daily COVID-19 symptom survey and to follow all health and safety guidelines to prevent the spread of COVID-19.
All visitors MUST complete this daily attestation EVERY DAY you enter a Western location.
All fields marked with a * are required.
Full name *
Email address *
Phone number *
Reason to be on campus *
On-campus contact
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In the past 24 hours, have you experienced any of the following symptoms that you cannot attribute to another health condition?
- New fever or feeling feverish (such as chills or sweating)?
- New cough?
- New shortness of breath?
- New sore throat?
- New headache?
- New gastrointestinal symptoms, such as nausea, vomiting or diarrhea?
- New respiratory symptoms, such as a runny nose or congestion?
- New fatigue?
- New muscle pain or body aches?
- New loss of taste or smell?
- Within the past 14 days, have you had contact with anyone that you know had COVID-19 or COVID-like symptoms? Contact is being 6 feet or closer for cumulative total of 15 minutes or more with an infected person over a 24-hour period, or having direct contact with fluids from a person with COVID-19 (for example, being coughed or sneezed on).
- Have you had a positive COVID-19 test for active virus in the past 10 days?
- Within the past 14 days, has a public health or medical professional told you to self-monitor, self-isolate, or self-quarantine because of concerns about COVID-19 infection?
If you answer yes to any of the above questions:
- DO NOT come to any Western physical location. If you are on-site, you must leave the facility immediately.
- Contact your health care provider for medical guidance.
For more information about COVID-19, please visit the WWU coronavirus information page.
You must check both checkboxes to continue.
I read the above statement.
I attest that prior to coming to any Western physical location on today's date that I DO NOT have any of the above symptoms, nor am I aware that I have been exposed to someone with a confirmed case of COVID-19 who may or may not have these symptoms.