Influenza Reporting

The UW-Extension and UW Colleges Pandemic Task Force wishes to closely monitor the levels of flu cases due to the H1N1 pandemic. Effective immediately, Cooperative Extension will gather data on work absences due to influenza or influenza-like symptoms. Both absences due to personal illness and the illnesses of family members will be counted.

Step 1: Colleagues are asked to disclose to their immediate supervisor if the paid leave they are requesting is due to influenza or influenza like symptoms (personal or family).

Step 2: Colleagues with the lead supervisory responsibility within a Cooperative Extension unit (county, campus, administrative office, etc.) are asked to keep a record of absences due to influenza or influenza-like symptoms.

Step 3: Every Friday, through December 18, 2009 supervisors will provide the requested information via the following form and email it to sara.koeller@ces.uwex.edu.
Forms are due no later than Monday at noon. Please submit a form each week even if you have no absences to report.

Influenza Reporting Form (as a PDF file)

Influenza Reporting Form (as a Excel file)