COVID-19 Health Declaration Form

COVID-19 Health Declaration Form

This daily health declaration is required to enable your access to all Victorian RMIT campuses or RMIT-related work placement location as directed by the Department of Health and Human Services.

The information you provide will be treated as confidential and managed in line with RMIT’s Student Privacy Statement and/or Staff Privacy Statement.

To pre-fill your details, please .
Your Details



Please omit 's' from student number.

To make updates to personal details, students can access Enrolment Online, while staff can visit Worklife for more information.
Declaration
1. I am free of COVID-19 symptoms including the below.
COVID-19 symptoms include the following:
  • Loss or change in sense of smell or taste
  • Fever
  • Chills or sweats
  • Cough
  • Sore throat
  • Shortness of breath
  • Runny nose
2. I have not been in contact with a confirmed case of COVID-19.
3. I have not been directed to isolate in the last 14 days.

Numerals only, no spaces