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Report a Suspected Case and Request a COVID-19 Test
The form below shall be used to notify QP of any person who is working within the Energy Sector and is determined to be a Suspected Case and to request that the person is tested. A person is considered a Suspected Case if the following criteria apply:
A body temperature of > 37.8 degrees Celsius; AND / OR
Other symptoms of flu (e.g. cough); AND / OR
Has been in Close Contact with a CONFIRMED case within the past 14 days.
‘Close Contact’ means more than 15 continuous minutes within 1.5 metres of the person.
Once your appointment is confirmed, individuals should report to the clinic as directed in the confirmation. QP medical staff will collect a sample by swab, it will take a few seconds only. Results usually are received within 24 hours.
1. All fields MUST be filled.
2. All fields must be filled in EXACTLY the same format as shown.
3. Failure to complete the form correctly may result in the decline of your request.
4. Appointment time at the Clinic will be sent by SMS to the individual's cellphone AND by email to the registered email.
5. All people arriving for testing MUST present their QID or Passport if they don’t have a QID.
Family (First) Name
Family (Last) Name
Antigua and Barbuda
Bosnia and Herzegovina
Central African Republic
Democratic Republic of the Congo
Papua New Guinea
Saint Kitts and Nevis
Saint Vincent and the Grenadines
Sao Tome and Principe
Trinidad and Tobago
United Arab Emirates
United States of America
Energy Sector Company working on behalf of *
Al Shaheen GE Services Company
Al-Koot Insurance & Reinsurance Company; P.J.S.C
Amwaj Catering Services Company
ChevronPhillips Chemical Company
Dolphin Energy Ltd
Gasal Company (Q.S.C)
Gulf Drilling International Ltd (Q.S.C.) (GDI)
KLJ Organic Qatar WLL
Mesaieed Power Company Limited (M-Power)
Milaha (Qatar Navigation) W.L.L.
North Oil Company (NOC)
ORYX GTL LTD
Qatar Aluminum Limited (Q.S.C.) (Qatalum)
Qatar Chemical Company Ltd. (Q-Chem)
Qatar Electricity & Water Company (QEWC)
Qatar Fertiliser Company (QAFCO)
Qatar Fuel (WOQOD)
Qatar Fuel Additives Company Limited (QAFAC)
Qatar Gas Transport Company Ltd. (Nakilat)
Qatar General Electricity & Water Corporation (Kahramaa)
Qatar Petrochemical Company (QAPCO)
Qatar Petroleum (QP)
Qatar Petroleum Development Co. Ltd. (Japan)
Qatar Power Company (QPower)
Qatar Primary Materials Co (QPMC)
Qatar Shell GTL Limited
Qatar Steel Company (QSC)
Qatargas Operating Company Limited (Qatargas)
Ras Abu Fontas Power Station
Ras Girtas Power Company (RGPC)
Ras Laffan Olefins Company Ltd
Ras Laffan Power Company Limited QPSC., (RLPC)
Total E&P Qatar – Al Khalij Asset
Umm Al Houl Power
Work Location *
Accomodation Status *
Accomodation Location (*)
Camp within the DSSA – Dukhan
Accommodation outside of Industrial Cities
Camp A&B (RLIC)
Job Title *
Date of Birth *
QID No (* if not available, provide a passport number below)
Passport Number (* if a QID is not available)
Mobile Number *
Company Rep Email (*)
Personal Email *
A body temperature of > 37.8 degrees Celsius
Other symptoms of flu (e.g. cough)
Has been in Close Contact with a CONFIRMED case within the past 14 days
Preferred Test Location *
Ras Laffan Clinic (Must have QP security access pass for Ras Laffan)
Accept QP terms and conditions of data management, and confirm declaration of true information (see details below)
Declaration of true information:
I/we confirm to QP that the information given in this form is true, complete and accurate.
QP terms and conditions of data management:
I/we agree to Qatar Petroleum storing and using the data submitted. Collected personal data will be processed in accordance with the requirements of the applicable laws and regulations of the State of Qatar and strictly for the purposes of managing the coronavirus crisis. Relevant personal data will be retained for no longer than is necessary for the purposes for which it is collected. Personal data will be securely erased once it is no longer needed.
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