IN QUARANTINE/ISOLATION LETTER

NOTE: This letter will not have a release date on it. When you are done with your quarantine/isolation, you will need to put in a new request 2-3 days before your return-to-work date. Requests before that time will NOT be granted.

Name of person with confirmed case with whom you were in contact Live with confirmed

Last day you were in contact with confirmed case

OUT OF QUARANTINE/ISOLATION LETTER

NOTE: Requests for an isolation letter will only be taken 2-3 days before your return-to-work date. Requests before that time will NOT be granted.

When were you tested? When did symptoms start? If no symptoms, check Asymptomatic
Asymptomatic
If you are the Contact for a person who tests positive,
Date of last contact ? Live with the person for whom you are contact