The [YOUR COMPANY NAME] Reopening Check-in process has been implemented to ensure an optimally safe reopening of normal business operations in accordance with state and federal guidelines.

Please fill out and submit the form below.

[YOUR COMPANY NAME] employees and essential visitors will comply with requirements by answering the following questions

Question 1: Have you had any COVID-19 symptoms in the past 14 days?

Question 2: Have you tested positive for COVID-19 in the past 14 days?

Question 3: Have you had close contact with confirmed or suspected COVID-19 cases in the past 14 days?

Temperature:

ºF
Valid Temperatures: 90.0° - 110.0°.