Please record your Banc email and today's date, then respond to question 4:

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* 1. Banc email,

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* 2. Today's Date


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* 4. In the last 24 Hours, have you:

- Had a high temperature and/or felt feverish or chills?
- Developed a new or worsening cough or sore throat?
- Experienced shortness of breath or difficulty breathing?
- Experienced a new loss of taste or smell?
- Experienced out of the ordinary congestion or runny nose?
- Experienced unaccounted muscle pain or fatigue?
- Experienced an unusual or out of the ordinary headache?
- Experienced out of the ordinary digestive issues or diarrhea?
- Had contact or exposure to people or gatherings with COVID-19 in the last 14 days
- Or anyone in your household or company you have been around pending test results because of symptoms of Covid-19?
- Been ordered to isolate or quarantine?

If you have answered yes to the question above, stay home and contact Human Resources at and/or call 714-864-5030