Employee COVID-19 Health Screening Questionnaire

    Please refer to the list of symptoms here: www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/symptoms.html
  • Please make any additional comments here. If you have any symptoms, have been in close contact with any suspected or confirmed cases, or have tested positive for COVID-19, please do not report to work until after you have discussed your situation with your supervisor. Thank you!