COVID-19 Workplace Case and Contact Reporting (AB 685)
Reporting COVID-19 Positive Cases
In accordance with California Assembly Bill 685 (AB 685), Plumas County employers are required to notify the Plumas County Public Health Department of all COVID-19 related outbreaks within their workplace. An outbreak is defined as three or more confirmed COVID-19 cases within a 14- day period that are from different households and are not identified as close contacts of each other in any other COVID-19 case investigation. The full Public Health Guidance on Reporting COVID-19 Positive Cases and Exposures can be found in the Guidance Documents section of this page.
Following, are steps for employers when reporting a COVID-19 positive case and/or exposure:
- Step 1: Before completing the required form, you will need to collect a list of people that were exposed to the COVID-19 positive case, as well as some general information on the COVID-19 positive case. You can download a questionnaire from Guidance Documents before starting your electronic form submission. Please note that if you are submitting more than 6 exposures, you will need to e-mail your exposure list to firstname.lastname@example.org.
- Step 2: Complete the electronic COVID-19 Workplace Case and Contact Reporting Form linked below. Please note that you will need to submit all relevant information at once. Once you start filling out the form, you will need to complete the submission.
- Step 3: For additional information or guidance, contact Zachary Gately at (530) 283-6113.
Please use this form to report a confirmed or suspected COVID-19 case in the workplace, and any associated contacts. Please complete a separate form for each employee.
In accordance with HIPPA Privacy and Security Rules, all information you provide in this form will remain confidential; the information you provide will not impact immigration status.
Long-Term Care Facilities and Children/Youth congregate settings should NOT complete this form. Please contact Public Health at (530) 283-6330.