Attestation of Negative COVID-19 Test

I do hereby affirm that I:
Completed a negative home antigen COVID test or a negative Molecular/PCR lab test, AND have been fever free x 24 hours without the use of medication AND have other symptom improvement.
*Please note: Health care provider follow up is strongly recommended.

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Name of Employee *

Email Address *

Date of Birth *

Date of Negative Test *

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ATTESTATION OF NEGATIVE COVID-19 TEST