Work In Office Request
Office Location
*
Boca Raton
New York City
Philadelphia
Name
*
First
Last
Email
*
Date You Will Be In Office
Date Format: MM slash DD slash YYYY
Please confirm the below affirmations
*
I have been authorized to be in the office today.
I have read the building, CDC and government guidelines and will abide by them.
I will wear a mask when not at my desk (unless alone in an individual office).
I do not fall under the CDC guidance to isolate.
I do not fall under the CDC guidance to quarantine.
I do not fall under the CDC guidance to stay home and away from other people.
By submitting this form, you agree that you have reviewed the current links to the recommendations from the Center of Disease Control. (CDC)
Isolate If You Are Sick | CDC
COVID-19: When to Quarantine | CDC
When You Can be Around Others After You Had or Likely Had COVID-19 | CDC