Voluntary Covid-19 self-report form for students

What would we like you to report?

Please only report a suspected or confirmed case of infection if you are the affected person. Do not use this form to report someone else. Please inform the university promptly!

What is a suspected or confirmed case?

Suspected case

According to the Robert Koch Institute (RKI), a Covid-19 should be suspected if

you have one or more Covid-19 symptoms
AND you have been in contact with someone who has tested positive for Covid-19

Being 'in contact', specifically, means that you shared the same space (e.g. in a lecture theatre, seminar room, library, computer room or any other room on or off-campus) at one point within 14 days before you developed symptoms, while your contact person was symptomatic.

Please do not report cases of the common cold, but only report if you suspect a Covid-19 infection based on contact with a confirmed case.

You should also visit a doctor to get a proper diagnosis. However, before you do, call your doctor on the phone and discuss with them how to proceed.

If you are tested and the result comes back negative, please use the online form below to let us know that you are no longer suspected of having Covid-19.

Covid-19 infection

Please report your Covid-19 infection to us directly. Although there is an official reporting chain, depending on how the infection rates develop, there may be a delay before the university is informed by the health authorities. If you inform us directly, this would allow us to take appropriate measures more quickly than would otherwise be the case.

How to report a suspected or confirmed Covid-19 infection?

Please use the online form below to report yourself as a suspected/confirmed Covid-19 case.

In addition, please check in Campus Portal that your current contact details (personal e-mail address and telephone number where you can best be reached) are up to date, so that we can get in touch promptly if necessary.

Covid-19 self-report form

Family name *

Given name *

Matriculation number *

Personal e-mail address *

Phone number *

Do you suspect an infection or has the infection been confirmed? *

Suspected

Confirmed

Within the 14 days immediately before developing symptoms: *

I did not go to the University in the past 14 days

I visited the University Library with a reservation

I attended courses taught face to face

I took part in an in-person examination

I have not been tested for Covid-19 or am still awaiting the test result

Declaration of consent to the processing of your data *

I expressly consent to the processing, by the University of Passau, of my personal data (family name, given name, matriculation number, personal e-mail address, telephone number and the necessary, relevant health information, wherabouts of a person) in the context of reporting a suspected or confirmed Covid-19 infection using the Covid-19 self-report form for students. The data provided will be used by the competent units within the University of Passau for the purpose of implementing the protection and hygiene concept on the basis of BayIfSMV (the Bavarian disease protection ordinance). The legal basis for this is art. 6(1)(a) of the General Data Protection Regulation (GDPR). The data will be archived or destroyed or deleted after processing according to Art. 7(1) BayArchivG (the Bavarian archives act). The data will not be forwarded to any third parties. I have been informed of my rights under the General Data Protection Regulation (GDPR), specifically art. 15 (right of access), art. 16 (right to rectification), art. 17 (right to erasure) and art. 18 (right to restriction of processing). This consent can be revoked at any time with effect for the future.

1) Data controller

University of Passau
Public corporation according to Art. 11(1) BayHschG (Bavarian higher education act)
The University of Passau is legally represented by the chairperson of the governing body, President Professor Ulrich Bartosch.

University of Passau
Innstr. 41
94032 Passau
Germany

Telephone: +49 851 5090
Fax: +49 851 509 1005
president@uni-passau.de

2) Contact details of the appointed data protection officer

Data protection officer of the University of Passau
Nikolastr. 12
94032 Passau
Germany

Phone: +49 851 509 1107
datenschutz@uni-passau.de

3) Purpose and legal basis of the data processing

Your data will be processed on the basis of Art. 6(1)(a) GDPR exclusively for the purpose of implementation the disease prevention and hygiene concept of the University of Passau through the units charged with this task. The disease prevention and hygiene concept and its implementation are governed by BayIfSMV (the Bavarian disease prevention ordinance in its currently amended form).

4) Recipients of personal data

The data from this processing will not be passed on to third parties.

5) Transfer of personal data to a third country

No personal data will be transferred to a third country.

6) Data retention period or criteria for determining the data retention period and deadlines for the review thereof

The data will be archived or destroyed or deleted after processing according to Art. 7(1) BayArchivG (the Bavarian archives act).

7) Rights of data subjects

If your personal data are processed, you have the right to receive information about the data stored about you (Art. 15 GDPR).
If incorrect personal data are processed, you have the right to have them corrected (Art. 16 GDPR).
Subject to specific requirements, you can request the deletion or restriction of the processing and lodge an objection to the processing (articles 17, 18 and 21 GDPR).
If you have consented to data processing or if a contract for data processing exists and data processing is carried out using automated processes, you may have the right to data transferability (Art. 20 GDPR).
If you make use of your aforementioned rights, the University of Passau will check whether the legal requirements for this are met.

8) Right of appeal to the supervisory authority

You also have the right to lodge a complaint with the Bavarian state commissioner for data protection.
Postal address:
Bayerischer Landesbeauftragter für den Datenschutz.
Postfach 22 12 19
80502 Munich
Germany

Street address:
Bayerischer Landesbeauftragter für den Datenschutz
Wagmüllerstrasse 18
80538 Munich
Germany

Phone +49 89 21267 20
Fax +49 89 212672 50
poststelle@datenschutz-bayern.de

9) Right of withdrawal after giving consent

If you have consented to the processing by the University of Passau by means of a corresponding declaration, you can revoke your consent for the future at any time. This does not affect the lawfulness of the data processing carried out based on the consent given until the time of withdrawal of said consent.