Name * Are you currently experiencing, or have you experienced in the past 10 days, any of the symptoms identified by the CDC as possibly indicative of COVID-19? (i.e., cough, chills, fever of 100.4 degrees Fahrenheit or higher, shortness of breath, loss of taste and/or smell, muscle pain, sore throat.) * Yes No Is a member of your household sick at home with COVID-19-related symptoms referenced in the first question? * Yes No Are you, a member of your household, or a person with whom you have been in close contact with, been advised by Federal, State, or medical personnel to self-isolate? * Yes No Have you, a member of your household, or a person with whom you have been in close contact, tested positive for COVID-19 in the past 21 days? * Yes No If you answered NO to all of the above questions, you have self-certified in accordance with USBC's COVID-19 self-monitoring policy and may report to the workplace today. If you answered YES to any of the above questions, DO NOT REPORT TO THE WORKPLACE. Contact your supervisor to discuss your responses and to determine whether you may report to the workplace.There are a number of workplace flexibilities in place to help you fulfill your professional responsibilities and to protect the health and safety of your colleagues and others. Click "Submit" below before closing this page.