Unit Office: Symptom Self Certification & Verification
This form will be used daily in lieu of symptom checking upon arrival to a location in Vandalia CUSD #203.
First Name *
Last Name *
Are you experiencing any of the following symptoms today? *
Fever of 100.4 or greater in the past 14 days, Cough, Shortness of Breath, Chills, Sore Throat, Body Aches, Loss of taste or Smell, Diarrhea, Nausea, Vomiting, Headaches, Congestion.
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