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55°
  • Tue
    04/13
    overcast clouds
    overcast clouds
    61°/48°
  • Wed
    04/14
    light rain
    light rain
    54°/49°
  • Thu
    04/15
    broken clouds
    broken clouds
    59°/43°

COVID-19 Screening Protocol: Employee self-check of health

Please fill out this form before the beginning of your shift.

YES or NO since my last day of work have I had any of the following: (If an employee answers YES to any of the screening questions before reporting to work, should not report to work. )