Daily Phase 4 Arizona site access form
Complete this form each day in advance of accessing any NOIRLab facilities in Arizona unless you have filed a health affidavit with AURA HR (visitors should use this form).

If your information changes, please edit your responses via the email confirmation link.

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Email *
First Name *
Last Name *
Today's date *
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YYYY
I acknowledge that I am familiar with the latest updates to the AURA CEPP. If you answer no, please check the latest version of the CEPP (https://noirlab.edu/intra/covid-19/resources) and return to the form. *
I am a visitor, vendor or contractor coming to NOIRLab HQ in Tucson
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If the answer to the visitor, vendor, or contractor above is Yes, then enter the name of NOIRLab host/contact below.
If the answer to the visitor, vendor, or contractor above is Yes, please confirm your vaccination status.
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Do you answer "NO" to all questions on the questionnaire below? *
(If you answer "yes" to any questions, please inform HR and do not access the site today.)
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A copy of your responses will be emailed to the address you provided.
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