Armada Staff COVID-19 Assurance Form
By Executive Order of the Michigan Governor you must complete this form each day prior to your arrival at work.  If you have any of the symptoms outlined below, you are NOT to report to work and need to contact your supervisor to report your illness.
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First Name *
Last Name *
Building *
Department *
Date Entering Building *
MM
/
DD
/
YYYY
Time Entering Building *
Time
:
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