Form preview

Get the free COVID-19 Employee Health-Screening Form

Get Form
COVID-19 Employee HealthScreening Form Employee name: Job title: Supervisors name: Datebook temperatureRespiratory symptoms? (Y/N)Screened BIF an employees body temperature is at or above 100.4 degrees
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign covid-19 employee health-screening form

Edit
Edit your covid-19 employee health-screening form form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your covid-19 employee health-screening form form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing covid-19 employee health-screening form online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Follow the guidelines below to take advantage of the professional PDF editor:
1
Create an account. Begin by choosing Start Free Trial and, if you are a new user, establish a profile.
2
Prepare a file. Use the Add New button. Then upload your file to the system from your device, importing it from internal mail, the cloud, or by adding its URL.
3
Edit covid-19 employee health-screening form. Add and change text, add new objects, move pages, add watermarks and page numbers, and more. Then click Done when you're done editing and go to the Documents tab to merge or split the file. If you want to lock or unlock the file, click the lock or unlock button.
4
Get your file. When you find your file in the docs list, click on its name and choose how you want to save it. To get the PDF, you can save it, send an email with it, or move it to the cloud.
Dealing with documents is always simple with pdfFiller.

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out covid-19 employee health-screening form

Illustration

How to fill out covid-19 employee health-screening form

01
To fill out the covid-19 employee health-screening form, follow the steps below:
02
Gather all necessary information such as employee's personal details, contact information, and current health status.
03
Start by providing the employee's full name, date of birth, and employee identification number.
04
Specify the date and time of the health screening.
05
Answer the screening questions accurately and honestly. These questions typically inquire about recent travel history, close contact with individuals who have tested positive for Covid-19, and any current symptoms the employee may be experiencing.
06
If the employee has any symptoms or has had close contact with an infected person, provide additional information as required.
07
Sign and date the form to indicate that the information provided is complete and accurate.
08
Submit the form to the designated authority or department responsible for health screening.
09
Keep a copy of the form for record-keeping purposes.

Who needs covid-19 employee health-screening form?

01
The covid-19 employee health-screening form is generally needed by organizations, businesses, and workplaces to ensure the health and safety of their employees. Any employer or entity that wishes to screen their employees for Covid-19 symptoms or potential exposure may require employees to fill out this form.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.4
Satisfied
49 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

pdfFiller’s add-on for Gmail enables you to create, edit, fill out and eSign your covid-19 employee health-screening form and any other documents you receive right in your inbox. Visit Google Workspace Marketplace and install pdfFiller for Gmail. Get rid of time-consuming steps and manage your documents and eSignatures effortlessly.
With pdfFiller's add-on, you may upload, type, or draw a signature in Gmail. You can eSign your covid-19 employee health-screening form and other papers directly in your mailbox with pdfFiller. To preserve signed papers and your personal signatures, create an account.
Complete covid-19 employee health-screening form and other documents on your Android device with the pdfFiller app. The software allows you to modify information, eSign, annotate, and share files. You may view your papers from anywhere with an internet connection.
The COVID-19 employee health-screening form is a document used by employers to assess the health status of employees regarding COVID-19 symptoms, exposure risks, and vaccination status.
All employees who are required to report to a physical workplace may be required to complete the COVID-19 employee health-screening form, as mandated by their employer's health and safety policies.
To fill out the COVID-19 employee health-screening form, employees should provide accurate information regarding their health status, symptoms, exposure history, and vaccination details as prompted on the form.
The purpose of the COVID-19 employee health-screening form is to identify potential COVID-19 symptoms or exposure among employees, ensuring a safer workplace and reducing the risk of viral transmission.
Information that must be reported on the COVID-19 employee health-screening form typically includes the employee's name, contact information, symptoms (if any), recent exposure to COVID-19, and vaccination status.
Fill out your covid-19 employee health-screening form online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.