SmithAdmundsen Covid-19 Workers Comp Questionnaire Forms

INSTRUCTIONS:  The following questions should be asked of any Employee who has informed you that she or he has either tested positive for COVID-19 or has been told by a medical treater or provider they presumptively have COVID-19.  This questionnaire is to be kept confidential and in Employee’s medical file with access by only select individuals designated by the Company.

 Employee Workers Comp Response Form in Word format

 Employee Workers Comp Response Form in PDF FORMAT

 

 ILMDA Alerts

Alert 040120

Alert 032620

UDDOL Poster 

Federated Insurance Resources

   Employers COVID-19 FAQs
   Overview of the Families First Coronavirus Response Act
   Important Rules for Employers to Know in the Wake of COVID-19 

Federal Payroll Files 
   PPP Loan Application
   PPP Borrower Information Fact Sheet

SBA Covid-19 Links 

SBA Diaster Loans

Emergency FMLA Law Update (with small business exemptions)
(Fisher Phillips Legal Alert-- March 18, 2020)

Employers May Now Take Employees' Temperatures
(EEOC Announcement-- March 18, 2020)

Coronavirus (COVID-19) and You
CDC Summary

Advice For The Public RE: CORONAVIRUS
(World Health Organization-- March 18, 2020)

Emergency FMLA Law Update (with small business exemptions)
(Fisher Phillips Legal Alert-- March 18, 2020)

How to Handle Communicable Diseases in the Workplace
(Society of Human Resource Management -- March 14, 2020)

U.S. Center for Disease Control and Prevention COVID-19 Webpage

Guidance on Preparing Workplaces for COVID-19
OSHA 3990

COVID-19 and the Fair Labor Standards Act (FLSA)

Interim Guide for Business & Employers

Stopping the Spread of Germs in the Workplace
Printable Flyer

Social Distancing Guidelines at Work
Printable Flyer

Keeping Workplace Safe
Printable Flyer

Sample Memo to Employee RE: COVID-19

My Employee Tested Positive for COVID-19, Now What?

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