Covid 19 Form Submission

– If you responded “No” to ALL questions and did not select any symptom(s), then you PASSED the screening. You are approved to enter the Town facilities/worksites that you identified in the form. This approval is for today only.

– If you responded “Yes” to ANY question or selected ANY symptom(s), then you have FAILED the screening. You are not allowed to access Town facilities at this time. Please immediately notify your Supervisor/Manager and email with your screening results.