COVID-19 Screening
Jobsite Screening for Employees
Have you been in close contact with anyone diagnosed with COVID-19 in the last 14 days?
Have you experienced any symptoms of fever, cough, shortness of breath, sore throat, or diarrhea?

I certify that the above information is accurate to the best of my knowledge and understand this is a legal representation of my signature

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378 N. Tuscola Rd. Bay City, MI 48708

Serving Frankenmuth, Bay City, Saginaw, Midland, Bad Axe and beyond

© 2020, Bierlein-Trombley Electric, LLC