Self Check & Log Procedure for Entering the Office During COVID-19

Prior approval for a brief office return must be granted by your supervisor and HR.


Do NOT visit any PUD 3 location if you have any of the following symptoms:

Employee Self Checklist - General Health Self Screen (Per CDC health guidance)

  • Nausea or vomiting

  • Diarrhea (at least twice in 24 hours)

  • Loss of sense of taste and/or smell

  • Congestion or runny nose

  • Headache

  • Shortness of breath or difficulty breathing or

  • Muscle pain

  • Fatigue

  • Fever of 100.4 or higher

  • Chills

  • Cough

  • Sore throat


Upon approval and completion of self-screen, the following form must be submitted after your office visit

Information changes daily and document contents may e superseded by direction from government entities without notice.