RFL COVID-19 INCIDENT REPORTING FORM
We are asking all Club Covid Officers to notify the RFL using this secure form, of any participant that tests positive for COVID-19. Please refer to the Community Game Test and Trace Guidelines which can be found here - https://www.rugby-league.com/uploads/docs/Community%20Game%20Covid%20Regulations%20-%2027%20January%202022%20Update.pdf

General Data Protection Regulation

The RFL are committed to respecting your privacy and want to make sure all the personal information we have collected about you is safe and secure. To view this policy please visit https://www.rugby-league.com/the_rfl/about_the_rfl/privacy_policy

If you have queries regarding data protection, please contact DPO@rfl.co.uk.

If you have any other queries or wish to provide any documentation, please contact C19@rfl.co.uk.

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Covid Officer Name *
Contact Email *
Name of Club *
Name of team/age group affected *
Date Covid Test taken *
MM
/
DD
/
YYYY
Date of last session/match attended *
MM
/
DD
/
YYYY
In the previous 14 days, has the COVID-19 positive person had any known contact with a COVID-19 positive person in the community (including school/college/workplace/household)? *
Has the COVID-19 positive person been on any foreign travel in the last 14 days? *
Did the individual test positive whilst isolating as a community close contact? *
Did the individual test positive whilst isolating due to a rugby league activity close contact? *
How many matches has the COVID-19 positive person played in, in the last 14 days? *
If you have indicated the individual has been involved in matches in the last 14 days, please list the teams played in these matches along with dates of fixtures
How many COVID-19 positive cases has there been in the team in the last 14 days? *
How many COVID-19 positive cases has there been in the Club in the last 14 days? *
How many close contacts have been identified at the club for the COVID-19 positive person? *
Has any specific PHE/NHS Test & Trace advice been given? If so what was this?
Please confirm the level of activity the individual who has tested positive had been involved in *
Are you happy for the anonymised information submitted to be used by the RFL for research and development, furthering our understanding of COVID-19 risks and transmission in rugby league? *
Please advise of any further information that will help us assist you in managing this COVID-19 related issue.  
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