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School District 105 Countryside Hodgkin's La Grange 701 S. Seventh Ave. La Grange IL 605252798Phone: (708) 4822700 Fax: (708) 4822727 Website: www.d105.netStudent/Staff Self Certification and Verification

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How to fill out annual covid-19 attestation form

01

Obtain a copy of the annual covid-19 attestation form from your employer or relevant authority.

02

Fill in your personal details such as name, contact information, and employee ID number.

03

Answer all relevant questions related to your health status, any exposure to covid-19, and any symptoms you may be experiencing.

04

Sign and date the form to certify that all the information provided is true and accurate.

05

Submit the completed form to your employer or relevant authority within the specified deadline.

Who needs annual covid-19 attestation form?

01

Employees of organizations or companies that require annual covid-19 attestation forms to track and monitor the health status of their workforce.

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What is annual covid-19 attestation form?

The annual covid-19 attestation form is a document used to verify compliance with covid-19 safety protocols for businesses and organizations.

Who is required to file annual covid-19 attestation form?

Businesses and organizations in certain industries or with a certain number of employees may be required to file the annual covid-19 attestation form.

How to fill out annual covid-19 attestation form?

The form typically requires information about the covid-19 safety measures implemented by the business or organization, as well as any covid-19 cases that have occurred on the premises.

What is the purpose of annual covid-19 attestation form?

The purpose of the annual covid-19 attestation form is to ensure that businesses and organizations are taking appropriate steps to prevent the spread of covid-19.

What information must be reported on annual covid-19 attestation form?

The form may require information such as number of employees, covid-19 safety protocols in place, any confirmed covid-19 cases among employees, and any covid-19 related measures taken.

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