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NAME OF CHILD:DATE:BEST CONTACT NUMBER TODAY:Daily Health AttestationPlease complete the following for each child. If you answer yes to any of the following, please do not bring the child to care.
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01
Open the daily health attestation form.
02
Read the instructions carefully.
03
Fill out your personal information, including your name, address, and contact details.
04
Answer the health-related questions honestly and as accurately as possible.
05
If you have any symptoms or have been in contact with someone who has COVID-19, indicate it on the form.
06
Submit the completed form online or hand it over to the designated authority.
07
Keep a copy of the attestation form for your records.
08
Repeat this process daily or as required.

Who needs daily health attestation form?

01
Anyone who is required by their organization, workplace, or school to submit a daily health attestation form needs to fill it out.
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Daily health attestation form is a form where individuals report their daily health status including symptoms, temperature, and exposure to COVID-19.
All employees and visitors entering a workplace or public setting may be required to file a daily health attestation form.
To fill out the daily health attestation form, individuals need to provide information about their health status, symptoms, temperature, and any possible exposure to COVID-19.
The purpose of the daily health attestation form is to ensure that individuals entering a workplace or public setting are not experiencing COVID-19 symptoms and are not putting others at risk.
Information such as current health status, symptoms, temperature, and exposure to COVID-19 must be reported on the daily health attestation form.
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