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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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* Indicates required question
Covid Officer Name
*
Your answer
Contact Email
*
Your answer
Name of Club
*
Your answer
Name of team/age group affected
*
Your answer
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)?
*
Yes
No
Has the COVID-19 positive person been on any foreign travel in the last 14 days?
*
Yes
No
Did the individual test positive whilst isolating as a community close contact?
*
Yes
No
Did the individual test positive whilst isolating due to a rugby league activity close contact?
*
Yes
No
Other:
How many matches has the COVID-19 positive person played in, in the last 14 days?
*
Your answer
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
Your answer
How many COVID-19 positive cases has there been in the team in the last 14 days?
*
Your answer
How many COVID-19 positive cases has there been in the Club in the last 14 days?
*
Your answer
How many close contacts have been identified at the club for the COVID-19 positive person?
*
Your answer
Has any specific PHE/NHS Test & Trace advice been given? If so what was this?
Your answer
Please confirm the level of activity the individual who has tested positive had been involved in
*
Touch/Tag
Contact Training
Match Activity
Non Playing - Socially Distanced
Other:
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?
*
Yes
No
Please advise of any further information that will help us assist you in managing this COVID-19 related issue.
Your answer
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