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Black Oak Mine Unified School District
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Health Assessment

  • Yes
  • No

  • PTO or vacation
  • Sick leave or FMLA
  • Paid administrative leave
  • Other

  • Yes
  • No

  • Yes
  • No

  • Yes
  • No

You may NOT come to work today.

Please call your supervisor.

You have indicated you will not be at work until

You will not receive a daily health assessment email until your estimated return date.

You may come to work today.

Your answers indicate that you do not have any symptoms that

currently suggest the need for COVID-19 testing.

You may now close this browser.

04-18-2021 8:41 AM