COVID-19 Daily Screening for Employees

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Please complete this short check each morning and report your information per the Township’s reporting instructions.

Section 1: Symptoms

Any of the symptoms below could indicate a COVID-19 infection and may put you at risk for spreading illness to others. Please note that this list does not include all possible symptoms and anyone with COVID-19 may experience any, all, or none of these symptoms. Please check yourself daily for these symptoms:

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Employees who are sick (e.g. fever, vomiting, diarrhea) should not attend work. If TWO OR MORE of the fields in Column A are checked off OR AT LEAST ONE field in column B is checked off, please stay home and notify your supervisor for further instructions.

Section 2: Close Contact/Potential Exposure

Please verify if:

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Town Hall

475 Valley Road
Wayne, NJ 07470
Weekdays 8:30am-4:30pm
Tuesdays open until 7:00 pm
Sat & Sun: Closed
Closed on State Holidays

Wayne DPW Complex

201 Dey Road
Wayne, NJ 07470
Weekdays 7:00am-3:30pm
Sat & Sun: Closed
Closed on State Holidays