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CORONAVIRUS (COVID19) QUESTIONNAIRE & ATTESTATION (SUNY Poly Utica) To our Contractors, Consultants, Vendors, and Visitors In order to enhance the SUNY Polytechnic Institute Utica Campus efforts in
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Get a copy of the covid-19 visitor screening form.
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Read the instructions carefully before filling out the form.
03
Provide your personal information such as name, address, and contact details.
04
Answer all the health-related questions honestly, providing accurate information.
05
If you have any symptoms or have been in contact with a covid-19 positive person, mention it in the respective section.
06
Sign and date the form to validate your response.
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Submit the completed form to the designated person or organization.

Who needs covid-19 visitor screening form?

01
Anyone planning to visit a facility or organization that requires covid-19 screening.
02
Employees or workers entering their workplaces.
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Visitors to hospitals, clinics, nursing homes, or any healthcare facilities.
04
Individuals attending events or gatherings where screening is mandatory.
05
People traveling to certain countries or regions with strict entry requirements.
06
Students returning to educational institutions.
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Customers visiting businesses or establishments with screening protocols in place.
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The covid-19 visitor screening form is a document used to assess potential COVID-19 exposure and symptoms in individuals visiting a particular location or establishment.
Any individual visiting a location or establishment that requires the completion of a covid-19 visitor screening form is required to file it.
To fill out the covid-19 visitor screening form, individuals typically need to provide information about their contact details, recent travel history, COVID-19 symptoms, and potential exposure to the virus.
The purpose of the covid-19 visitor screening form is to help identify individuals who may be at risk of spreading COVID-19, allowing for appropriate precautions to be taken to protect others.
Information such as contact details, recent travel history, COVID-19 symptoms, and potential exposure to the virus must be reported on the covid-19 visitor screening form.
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