Complete the form below to self-attest to being fully vaccinated and thus able to remove your face-covering in the office. This form will be routed directly to People & Community. 

The following Cal/OSHA guidelines are effective immediately for NVE employees, interns and freelancers: 

All VACCINATED employees are: 

• NOT required to wear face coverings while indoors or outdoors, except during COVID outbreaks

All UNVACCINATED employees are:

• Required to wear face coverings while indoors 

• • EXCEPTIONS: 
    • When alone in a room or vehicle
    • When eating and drinking 
    • When an accommodation is required 
    • When job duties make a face covering infeasible or create a hazard 
• NOT required to wear face coverings while outdoors, except during COVID outbreaks

First Name*

Last Name*

           By checking this box, I self-attest that I am fully vaccinated to COVID-19.* 

*Being fully vaccinated means it has been at least 14 days since you have received either the second dose in a two-dose COVID-19 vaccine series or a single-dose COVID-19 vaccine. Vaccines must be FDA approved or have an emergency use authorization from the FDA.

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Document name: Mask Policy

Unique Document ID: 4646ba11b0adf1e6ed417a179f5049bdc2d6e0b5

Build. Track. Sign Contracts.

Timestamp	Audit
July 8, 2021 6:54 pm PDT	Mask Policy Uploaded by Tony Owen - [email protected] IP 47.180.49.79

This audit trail report provides a detailed record of the online activity and events recorded for this document.

https://maskpolicy.experiencenve.com/

Audit Trail Serial# 9a7a0b9211650b372bf60041a646011b