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Flight Attendant COVID-19 Exposure Reporting
This form will help AFA support Flight Attendant needs during the COVID-19 pandemic. Your personal information will not be shared publicly. More information >
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* Indicates required question
Flight Attendant COVID-19 Exposure?
*
Tested Positive
Symptomatic/Tested/Awaiting Results - In Self Quarantine
Self-Quarantine, Asymptomatic. Advised of Direct Contact with Confirmed COVID-19 case
Other:
Date of COVID-19 Contact
MM
/
DD
/
YYYY
COVID-19 Contact Location (Flight #, Other)
*
Your answer
Date Started Self-Quarantine
*
MM
/
DD
/
YYYY
First Name
*
Your answer
Last Name
*
Your answer
Airline
*
Choose
Air Wisconsin
Alaska Airlines
Allegiant
American Airlines
ATI
Cathay Pacific U.S.
Compass Airlines
Delta Air Lines
Endeavor Air
Envoy Air
Frontier Airlines
GoJet Airlines
Hawaiian Airlines
Horizon Air
JetBlue
Mesa Air Group
Miami Air International
Norwegian U.S.
Omni Air International
Piedmont Airlines
PSA Airlines
Silver Airways
SkyWest
Spirit Airlines
Sun Country
United Airlines
Other
Base (3 letters)
*
Your answer
Employee Number
*
Your answer
Phone Number
*
Your answer
Email
*
Your answer
Where are you quarantining?
*
Home
Hotel/On Layover
Hospital
Other
Has the airline been notified?
*
Yes
No
Unsure
Explain your situation? Questions or Concerns you have.
Your answer
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