Collection of Personal Information Related to COVID-19

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Collection of Personal Information Related to COVID-19 Due to the community spread of COVID-19 in California, Turlock Irrigation District (TID) will be collecting additional Personal Information about employees in order to ensure that our workplace is safe for our employees, customers, and others. If you experience or develop any of the following symptoms prior to returning to work or while working, immediately notify your supervisor and contact your health care provider for guidance: fever (100.4 F or higher), cough, shortness of breath, difficulty breathing, sore throat, runny or stuffy nose, body or muscle aches. Individuals experiencing symptoms associated with COVID-19 will not be permitted to enter District premises (office buildings, facilities, power plants, etc.) or will be asked to leave if they have already entered when their symptoms and/or fever are discovered. We are collecting the following types of personal information: Category

Examples Body temperature and symptoms (currently and within the last 14 days) such as fever, sore throat, cough, shortness of breath, difficulty breathing, runny or stuffy nose and body or muscle aches.

Medical and Health Information

Whether you have been symptom-free for at least 7 days without the use of any fever-reducing or other symptom-altering medication (e.g. Tylenol, Acetaminophen, Ibuprofen, Advil, Motrin, cough suppressant, etc.) and if applicable, have improved respiratory symptoms (e.g., cough, shortness of breath). Whether you have been diagnosed with or tested for COVID-19.

Contact with Others

Whether you have recently been in contact with anyone who has tested positive for COVID-19. Whether you have recently been in contact with anyone who has any symptoms of COVID-19.

The above information is being collected for the purpose of reducing the risk of spreading COVID-19 in the workplace. TID will maintain this information under conditions of confidentiality. By signing below, I acknowledge that I have received, read, and understand the information in this Notice.

Employee Name

Employee Signature

Date

Updated 04/08/2020, TID Human Resources


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