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Pflichtfelder sind mit einem Sternchen gekennzeichnet.
Studierende tragen bitte ihre Matrikelnummer ein, Beschäftigte ihren Beschäftigungsortstudents please fill in their matrical number, employees their place of employment
Bitte mit Straße, Hausnummer, Postleitzahl und Ort
Please street, house number, post code, city
district of private address
Informationen des Robert-Koch-Instituts, wer als Kontaktperson der Kategorie I gilt.
information from RKI who is listed as contact person catergory I
confirmed positive infection known since
for employees: did you inform your supervisor?
did you inform your contact person which are category I?
for students: lectures and courses visited during the last 14 days
for employees: Please inform us about the history where did you get the infection or why are you listed in the category I of contact persons?