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Employee Access Registration
In the past 24 hours, have you experienced a fever (over 100.4 degrees), new shortness of breath, or a new cough?
Yes
No
Do you have any of these symptoms?
Chills
Muscle aches
New sore throat
New loss of sense of smell or sense of taste
New headache
Have you had close or household contact in the last 14 days with someone diagnosed with COVID-19? (Close contact is being within 6 feet for ≥15 minutes)
Yes
No
I confirm that the information given in this form is true.
Submit
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