COVID Screening
Provide your full name as certification. Provide your email address in the event contact tracing is necessary.
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I certify that I do not/have not:   Have any recognized symptoms of COVID19 as described by the CDC including but not limited to cough, sore throat, difficulty breathing, and/or shortness of breath. Had any COVID19 symptoms in the past 14 days.  Had a positive COVID test in the past 14 days. Had close contact with a suspected COVID19 case in the past 14 days.
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