Are you experiencing any of the following symptoms today? If you have any of these symptoms, STAY HOME. If you are scheduled to work, report your absence as usual. Check all that apply. *
Have you been exposed to any confirmed or suspected cases of COVID-19 within the past 14 days? If you answer YES to this question, STAY HOME. If you are scheduled to work, report your absence as usual. *
What location or locations will you be at today? Select all that apply. If you will work in more than one location today, please select all applicable locations.