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1. I either have not been ill with COVID-19 *symptoms or have met the recommendations of the SC Department of Health and Environmental Control (DHEC) for returning to the workplace.  Per DHEC, generally the isolation period for COVID-19 continues until each of these conditions is met:
Your respiratory symptoms (such as cough and shortness of breath) are better - AND –
At least 10 days have passed since your illness onset – AND –
You have had no fever for at least 3 days (72 hours) and have not used fever-reducing medication during that time.

2. I am not currently serving a period of isolation or quarantine recommended by a health care provider or public health official.

3. Over the past 14 days, I have not been in close contact (6ft) for 15 minutes or longer with a person who tested positive for COVID-19.

4. I am not caring for someone who has tested positive for COVID-19 or who is experiencing the *symptoms of COVID-19. 

*Symptoms of COVID-19 - fever cough,shortness of breath or difficulty breathing,chills, repeated shaking with chills, muscle pain,headache, sore throat,or new loss of taste or smell

I attest that ALL of the above statements are true to the best of my knowledge. By attesting that the above statements are true, I understand that Iwill be deemed as not posing any particular COVID- 19 risk.

I understand that I must inform my supervisor immediately and HRM at 803.822.3500 if (1) I begin to experience COVID-19 symptoms (2) test positive for COVID-19 and/or (3) come into close contact with someone who is positive for COVID-19.

I also understand that per SC DHEC, should I violate isolation and expose others to COVID-19, I may be subject to personal liability for harm to others and may be subject to civil and criminal penalties.

Finally, I understand that should my COVID-19 status change, I must NOT report to work and am to notify HRM immediately at 803.822.3500.  Those who are not employees of the college should immediately notify their MTC contact.

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1. Please tell us about yourself.

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2. Printed Name

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