COVID-19 Re-Entry Protocols Acknowledgement for Employees
Name: _____________________________________ Date: _________________
Time: ___________
Please read the TID Re-entry Protocols and TID Guidelines for Use of Face Coverings before completing this acknowledgment. The Protocols and TID Guidelines for Use of Face Coverings are available on the Re-Entry page of the Grid, by typing the following links into your internet browser: Protocols: https://bit.ly/2FjoanW / Face Covering Guidelines: https://bit.ly/33ICsaY, and can be provided by your supervisor or manager. Once completed, dated and signed, please turn the form in to your supervisor.
I agree to follow the Face Mask Criteria while at work. I agree to stay home if I am ill, and wait to be screened. I agree to follow the protocols given to me.
By signing below, I acknowledge that I have received, read, and understand the information in the Turlock Irrigation District Re-Entry Protocols and TID Guidelines for Use of Face Coverings.
Employee Name
Employee Signature
Updated 10/9/20