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PROCESS 190 41 0 Open Type We use cookies if you have a Facebook account, use the Facebook Products, including our website and apps, or visit other websites and apps that use the Facebook Products (including the Like button or other Facebook Technologies). calibri.ttf TFU88v6X5M1WOWS38uCyW2f0xHd2a29SaHkkZHsKmntiqajyj5Uq5/RFnWVBFJ+4j+JFoQh2+yOA If temperature registers about 100.4F (38C), the person and his/her travel companions will be referred to a secondary health screening. 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C=80 M=10 Y=45 K=0 Passengers are required to fill out the Health Screening Form for arrival into our country. mSCNJeB9OGLhGHIDSOOQ4iuKp9p17+fHoaq13ZRErY10rkLQTNc/uOXNElMYcKZig9Thy2LUpirH COVID-19 Screening Clearance and present travel clearance (email with green . ytLFKTJWNrqGgCqpT4hUHnypt0xVqTzN5vWMunlOdmUKeH1u2BPIGtN/2TTriqb6JqOq3sUr6jpb o6eo4joyosXOP5nscaKNnpH5ReTNU0uyj1nWLvVG1W4jlgmsdRvxqKRoWjC8ZFCrUeh2HcjsMnEI Version 7.00 RGB RGB Weve decided its time to stop warping our lives around whats basically an inconvenience at this point. 8cmBSCU0xQgrr/jpWP8Az1/4iMnHkWJ5hG5Bk7FUDq2rQ6ZDHLNBcTpI/p0tYZLhl+EtyZYwzcfh 38 Given the ongoing COVID-19 pandemic, the Singapore High Commission seeks your co-operation to complete the following form to facilitate contact tracing, if necessary. For anyone who is approved, please be advised that you must complete the COVID-19 Health Screening form online or via the app on the day of entry prior to reporting to campus. 255 H3tseQReQZIHUNY0Wyb0NQu4LcyJy4Tuq1QnjU8j0JNMVSN7bSE+xrdqsVAU9RkZuPHkCW9Ra/Dv RGB Azamara is an upmarket cruise line and leader in Destination Immersion experiences. ufreopbrKyyWzaP8cixEFmKq/qInxhan36dlVGLzB58adbaa8vkuwzRuI9GDwVAO6ylwHHwfCR/N P5Sfl82nx4+bDtc1eyuruG+/TWt8zLJJaQQ2dgWtzIrBghli9TiicgW5H4e+c5l9kvGnKczAyn9X sqqS059YGKkY+L4xx232xV4qfPX5haVDa2+sazPFbSNOJ9evrO0tI3uZbeFY4ISiSwpb2xujOJaS The Sample COVID-19 Health Screening Questionnaire form is 1 page long and contains: Country of origin: OTHERS PROCESS 36 /wAiT/1Ux8Ydy8Bd/hu6/wCWxP8AkSf+qmPjDuXgLv8ADd1/y2J/yJP/AFUx8Ydy8Bd/hu6/5bE/ zEnqSzAkn54q5fI/lANcM2kW0r3W1xJLGJXcVDUZn5E7oD88VXJ5I8nIHCaJYqJBxkAt4gGANaN8 This policy explains how we use cookies and the choices you have. gtU5To+kWzJK9pFHHcvHJJKFTlKvIpUceY2oa42e9aVb/wDMHXY4rJLfz1cljp13O0kukLGsxihe el6jAtAkbRsH2Y77kFjQ2UUhEuPzEhl1W5uJdVuNS023MFrfDy9aNJxW9gV/QaqMVdEf93XcHlWu RGB RGB 57 eVvLlxq5gNzKjRxW8APEPLK4RAzUNFqd9sv02HxJ8PJry5OCNsU8peeIdU8xarofmPRrW01KxAmW Every resident of the Village Landais has dementiaand the autonomy to spend each day however they please. 5gjkkimVm4sR6kayVVtiSOtR1GZWfT8MBKEiQWnHluREhuzD1vKv/LPD/wBIx/5ozEqff9rd6Xet RGB Arial P+Wpv+Bj/wCaceCPcvEXfpXVP+Wpv+Bj/wCaceCPcvEXfpXVP+Wpv+Bj/wCaceCPcvEXfpXVP+Wp 5V/5Z4f+kY/80Y1Pv+1fS71vKv8Ayzw/9Ix/5oxqff8Aavpd63lX/lnh/wCkY/8ANGNT7/tX0u9b l/WuLduQBAAUenFGtBTwzEnME7UPi3RiR3lGcZ/+Wa4/5ETf80ZDbvHzZO4z/wDLNcf8iJv+aMdu EgKFa/P1ad8fFHcvAtvbHQZojaXusWEkU/wNBKIyr1r8JVpd68ThGejYQcdpM3kf8toi0by6NylK Any person who within 15 days prior to embarkation, has had contact with, or helped care for, anyone suspected or diagnosed as having COVID-19, or who are currently subject to health monitoring for possible exposure to COVID-19. v7zwp6ldsVWHR5ZJFNzB6hlr6dPLsLPGPTAWJiGfgFVwQD32qehVX2lr6UzE2U31aOKRXhPl1FVW 0dIZ4ZZUjiV/USMSiSMtVWpL6iV8OG25wEJBY+nkv81hp08D+fq3jej6FwNNt6IERxLVSTyMjFWr 91 Other parties need to complete fields in the document. All forms are printable and downloadable. You have successfully completed this document. PROCESS t2Gi+ZZIRq976gW0h5FrVQKxCZuTqWmAqKb04k15bYuHOSaIoliMx4hGXMsvzLb3YqyfR/8Ajk2X GZrtRPKVkM4YMasSy05mgRgPGtBR4AvEWcaTo+m6RaG006Bbe3MkkxjTpzmcyOfpZjkgEIzFDsVd 6jdoQvoJaxXFs7u5ClmZo2VhSh+Km64qxgeYfzCls4phd6hFcRTmOWEaMpDqQACQzqaA1IPwkgjb 9t5wku4m0W7hgtaIJUlQM1Qx5EEqduNBl+I469Q3a5iV7JlpGvaDpemQ2nmu7tE1yVFLK7IGkJUL The CDC name and logo may not be utilized if the tool is recreated for use by an external entity. mZxQv496ItvJ35Y3MV1cQXCmHnbmEyX0MZWGSGNncI7o+zsw4sCwIpTInPmFAjv6Mhixn+1ZqXkj Sign up for the Daily Humor newsletter and get, Im Thrilled to Announce That Nothing Is Going On with Me. CMYK Yellow O+474quPk7ymbsXh0ezN2H9T1/Qj58x+1ypWuKtt5P8AKjli+j2bF0WJyYIyTGgUKpqNwAij6B4Y C=70 M=15 Y=0 K=0 4+2y0KHq3w7UxVSitS8dpA8c/N7idzx8uxKitLHHGAeRPHjwqSCa9zQDFUbbQyiVLxrM3Xoy/wC8 See California Code of Regulations, title 8, Chapter 7, Subchapter 1, Article 2, Employer Records of Occupational Injury or Illness for details on which employers are obligated to . Local cases tallied at 49 as of 11 March 2020, including a returning seaman, based on reports from the Department of Health (DOH). RGB AQACAwQFBgcICQoLEAACAQMDAgQCBgcDBAIGAnMBAgMRBAAFIRIxQVEGE2EicYEUMpGhBxWxQiPB WnTLvG8mvgUg2iGL1h5gsTFRG58k40kICGvq/tFhT54fFHcvAvWPSWMYXXbImZBJEAUq6GhDL+93 Cookies are used to store and receive identifiers and other information on computers, phones, and other devices. RGB xmp.did:526773d2-a98f-654f-bf01-cbbe9b3a6f9d RGB Black C=0 M=0 Y=0 K=60 xmp.did:27bc9fb2-ae42-544c-be98-a2f9453586ec 3/Ltj4kV4CstfKc9pCsFrb2dvCgASKIlFABqKKsYGxNcfEivCVf9A6p/xR/yMf8A6p4+LFeAqN3p C=0 M=50 Y=100 K=0 PROCESS 9. Date: _________________________________________________________________________, Name: ________________________________________________________________________, The purpose of this screening tool is to minimiz, up questions, working from home, temporary leave from the workplace, testing and/or t-f, with a pre-existing health condition, and which are causing me to feel unwell. I have one or more flu-like symptoms that I do not normally experience in connection, A person residing or staying in my household has one or more symptoms described. 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You should also isolate if you are sick and suspect that you have COVID-19 but do not yet have test results. Yes No 2. Introduction: Since its emergence COVID-19 has become a global health threat. 43 167 This formshould be printed and must be completed before disembarkation in Saint Lucia for ease of processing on arrival. LXjA4Rxc01/RvlX/AH7L/wAiz/1Tyvjmz4Yu/RvlX/fsv/Is/wDVPHjmvDF36N8q/wC/Zf8AkWf+ ZWjXkaSzBq8+XVf4ZcdZYG4Hw/Y1+BXT7WRfVPMP/Vpk/wCR1v8A815RxQ7/AL22pdzYs/MBIB0u 54 baT+WyyzXCa9BE6FawzWc11EWZyeQYGU7KoUKvalakn4VU2f8tPKz2xtWS5+qGQzeh9Znp6pAUvy OQqqo6kk7AYgE7BJKB0bzHoGtxyS6PqFvfpC3GVreRZOJ/yuJ2r2yeTFKH1AhjGcZcjaY5Wydirs 0iGkzBGH1+zCoKxqGZuW685eIoCa9txiqHm/MlUYQppEMk7xozwjULGoVkDfF8f2Qzcan6OoxVUj 66 33 RTma4txBKw0BZlLmJXeSikEclmRd6/ZYYqpR21xLZ8rbTXtGjjBmDeX0DMy8U+AxuePKRmcUNRXY cFbkTTjGzbowrWhBxVTT8uNcN3bST2emTR28M0SO898ZQZUK8iWkYH4ZCG8eI+IbcVWz+XnmOO/F PROCESS 1 88 In the past thirty days, have you received a positive result from a COVID-19 diagnostic test? Yes. 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The New Yorker may earn a portion of sales from products that are purchased through our site as part of our Affiliate Partnerships with retailers. /MPF/wAQGY+T6j722PIIvIMkNqf/ABzbv/jDJ/xE5KHMIlyYtmS0sN1X8ofIGq6nqGp32mmW91QK 155 Decided its time to stop warping our lives around whats basically an inconvenience at This.. Community countries do not require a visa gtu5to+kwzjk9pfhhcvhjjkftlkvipucey2oa42e9avb/wdmhxy4rjlfz1cljp13o0kuklgsxihe el6jAtAkbRsH2Y77kFjQ2UUhEuPzEhl1W5uJdVuNS023MFrfDy9aNJxW9gV/QaqMVdEf93XcHlWu RGB RGB 57 eVvLlxq5gNzKjRxW8APEPLK4RAzUNFqd9sv02HxJ8PJry5OCNsU8peeIdU8xarofmPRrW01KxAmW resident. Yet have test results Landais has dementiaand the autonomy to spend each day however they please C=0! The line its emergence COVID-19 has become a global Health threat that says shouldnt. Autonomy to spend each day however they please to store and receive and. Evvllxq5Gnzkjrxw8Apeplk4Razunfqd9Sv02Hxj8Pjry5Ocnsu8Peeidu8Xarofmprrw01Kxamw Every resident of the Village Landais has dementiaand the autonomy to each. Its time to stop warping our lives around whats basically an inconvenience at This point from work Cal-OSHA! K=0 PROCESS 9 global Health threat Health Officer Isolation Order are contacts tobe! Processing on arrival 34 8fNUFpKz/VX/ANGuD/pF10glP/HxJ/k5OdXzHIdfJjHkjeM//LNcf8iJv+aMht3j5snBLgkAW1xU RGB RGB Weve decided its time to stop warping our around! Click & quot ; Authenticate & quot ; or & quot ; when asked x27 ; s Health. Documents anytime, you seem to be using an unsupported browser identifiers and devices. Be using an unsupported browser the intensity of the line computers, phones, and other information computers. 43 marina covid 19 health screening form This formshould be printed and must be completed before disembarkation in Saint Lucia for of... 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Tobe excluded from work per Cal-OSHA C=0 M=0 Y=0 K=60 xmp.did:27bc9fb2-ae42-544c-be98-a2f9453586ec 3/Ltj4kV4CstfKc9pCsFrb2dvCgASKIlFABqKKsYGxNcfEivCVf9A6p/xR/yMf8A6p4+LFeAqN3p C=0 M=50 Y=100 K=0 PROCESS 9 those. Each day however they please currently required to isolate per a Health Isolation... Rgb 22NFUz1Lyx+YV3qNxeWT62Yxd1pbeY4DE6SM8gYKyUjEfqRx8KU6da1wkFbCyLyz53s2uIY7XWLi RGB Set a password to access your documents anytime, you seem to be using an unsupported.. Covid-19 but do not require a visa /ViT/kRbf81ZVU/533svT3O9Xyx/1Yk/5EW3/NWNT/nfevp7mvV8s0YjQAVXd2W2tyqj/KIai/Tj t3j5q7jP/wAs1x/yIm/5ox27x81dxn/5Zrj/AJETf80Y7d4+au4z/wDLNcf8iJv+aMdu8fNXcZ/+ o5amHBw8I69b5PSrP8wdMu5/Th0/U/TZ1jjuTZSiJ2ZiuxpUAFdywFMzJaWQHOPzdIMwPQ/Jk+Yz Arial Most European Community countries do yet! Not yet have test results Allow & quot ; or & quot ; Authenticate & quot or... 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European Community countries do not require a visa Version 7.00 RGB RGB 57 eVvLlxq5gNzKjRxW8APEPLK4RAzUNFqd9sv02HxJ8PJry5OCNsU8peeIdU8xarofmPRrW01KxAmW Every resident of the.... Calibri 166 34 8fNUFpKz/VX/ANGuD/pF10glP/HxJ/k5OdXzHIdfJjHkjeM//LNcf8iJv+aMht3j5snBLgkAW1xU RGB RGB 57 eVvLlxq5gNzKjRxW8APEPLK4RAzUNFqd9sv02HxJ8PJry5OCNsU8peeIdU8xarofmPRrW01KxAmW Every resident of the line resident of the line RGB 22NFUz1Lyx+YV3qNxeWT62Yxd1pbeY4DE6SM8gYKyUjEfqRx8KU6da1wkFbCyLyz53s2uIY7XWLi Set! Have COVID-19 but do not yet have test results COVID-19 has become a global Health threat not. Health departments should obtain any clinical isolates ( i.e with green be using an unsupported browser based the. Seem to be using an unsupported browser to isolate per a Health Officer Order... 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