COVID-19 Wellness Check

ABC of Wisconsin
Chapter Staff Wellness Check

Before You Enter the Office …

Please Complete This Form

All employees are asked to confirm the status of their health as part of working in the office during the COVID-19 pandemic. ABC of Wisconsin, Inc. requires the completion of this form while you are in your car daily prior to entering the office. Please call the ABC of Wisconsin office at 608-244-5883 with any questions.

  • If you answer yes to any of these questions or have a temperature of 100.4°F or higher, DO NOT enter the building. Please remain in your vehicle and contact your supervisor immediately or Kelly Tourdot at 608-244-5883.
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