To prevent the spread of COVID-19 and reduce the potential risk of exposure to our workforce and visitors, we are conducting a simple screening questionnaire. Your participation is important to help us take precautionary measures to protect you and everyone in this building. By completing this form and arriving on site at a PTCAlliance location you may be subjective to additional health screening as suggested by the CDC, WHO, or local health departments.
Excludes: FedEx, UPS, Truck Drivers and Regular Delivery Services making deliveries at least once per week.
Please provide a copy of this completed form to your PTCAlliance Contact upon your arrival to your appointment. A copy of this completed form must be present with the PTCAlliance Contact during the onsite meeting and sent to the plant EHS Mgr. for recordkeeping purposes.