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COVID Attestation -Transportation
To help keep our students, staff, families, and community safe and healthy, each person entering a Fife School District building must complete this survey. This attestation needs to be completed each day, prior to any individual accessing district facilities.
* Required
Email
*
Your email
Name
*
Your answer
Primary Phone Number
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Your answer
I am a :
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Staff Member
Visitor
Vendor
Other:
Required
Have you recently had any of these COVID-19 symptoms since your last day of work or last visit here that is not attributable to another condition? (Fever or chills, Cough, Shortness of breath or difficulty breathing, Fatigue, Muscle or body aches, Headache, New loss of taste or smell, Sore throat, Congestion or runny nose, Nausea or vomiting, Diarrhea)
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Yes
No
Does anyone in your household have any of the above symptoms that are not attributable to another condition?
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Yes
No
Has a Health Care Provider or Health Official asked you or someone in your household to isolate or quarantine within the last 14 days?
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Yes
No
Have you or your student had any medication to reduce a fever before coming to school in the past 10 days?
*
Yes
No
If you answered YES to any of the above questions, please leave the building and follow-up via email or phone.
Send me a copy of my responses.
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