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.

Prior to submitting this form please ensure you have completed your RMIT COVIDSafe 2021 training module. For students please click here to access your Canvas COVIDSafe training, for staff please click here.

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.


Numerals only, no spaces
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 (or have confirmed my symptoms are not COVID-19 related) 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 in the last 14 days.
3. I am not currently directed to isolate or quarantine.
For current exposure sites and isolation requirements please visit https://www.coronavirus.vic.gov.au/exposure-sites
Face masks may be required in some RMIT spaces.
4. I agree to wear a mask in designated spaces at RMIT campus OR that I have a lawful excuse or exception to not wear a face mask, in accordance with Victorian Government restrictions.