Get Covid-19 Positive Test Report

Completing the COVID-19 Positive Test Report online is an essential step for reporting positive cases to your claims administrator. This guide will provide clarity on each section of the report to ensure you complete it accurately and efficiently.

Follow the steps to accurately fill out the report

1. Click ‘Get Form’ button to obtain the COVID-19 Positive Test Report and open it in your editor.
2. Fill in your policy information. This includes the policy name, policy number, number of employees, primary contact person, contact phone number, contact email address, fax number, and today’s date.
3. Provide the COVID-19 test result information. Enter the employee ID number without including any personal identifiable information, the date of the positive test, the date the employer was notified of the test result, and the date the employee last worked before testing positive.
4. Indicate whether a worker’s compensation claim has been filed for the employee by selecting 'Yes' or 'No.' If 'Yes,' include the claim number.
5. Document the employee location record by listing all locations where the employee worked in the 14-day period prior to their positive test result. Include the street address, city, state, and zip code. Enter the highest daily number of employees at each location based on the appropriate time frame.
6. If there were any ordered closures at the worked locations, specify if applicable, and provide the date of the order along with the authority that issued it.
7. Finally, print and sign your name, entering the date of submission. Once completed, submit your report by emailing it to COVID@scif.com or faxing it to (800) 325-1284.

Complete the COVID-19 Positive Test Report online today to stay compliant and support your workplace.