COVID-19 QUESTIONNAIRE

Please complete all required fields below.

Are there multiple contractors/visitors from the SAME company associated with this SAME visit?

Visitor Declaration

If the answer is “yes” to any of the questions, access to SCS will be denied.

1. Have you been out of North America or traveled aboard a cruise ship within the last 14 days?
2. Have you had close contact with or cared for someone diagnosed with COVID-19 within the last 14 days? Ex. Eating a meal, being in the same room closer than 6 ft *
3. Have you been in close contact with anyone who has traveled outside the United States within the last 14 days?
4. Have you experienced any cold or flu-like symptoms in the last 14 days (to include fever, cough, sore throat, respiratory illness, or difficulty breathing)?

Form Submission

I recognize that this form should be completed each day and submitted to your host prior to entering the SCS campus. 

​3423 I-20 Frontage Road, Big Spring, Texas 79720  |  432.264.6500 (24 Hours)  |  info@scslact.com

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