Dear UVM Faculty and Staff,

In response to recent updates to Governor Scott’s Executive Order, we will be updating the language on the employee health check-in form. Updated instructions to clarify employee responsibilities are also provided.

The requirements for completing the daily health screening check-in remain unchanged:

  • Employees must complete a daily health screening check-in unless they are exclusively working remotely or taking approved time off. Exclusively working remotely means those employees who are scheduled and are expected to work 100% remotely; this includes those who have temporarily transitioned to remote during the winter break.
  • Employees who work solely in UVM facilities, or who work partially in UVM facilities and partially from home, must complete the form every day.
  • Employees who exclusively work remotely must still complete the health screening check-in before they come to a UVM facility for any reason. Examples include, but are not limited to, coming on-site to pick up a file or office supplies, to get a COVID-19 test, to pick up mail or to water plants.
  • Employees who return to some form of on-site work after the winter break must resume completing their daily health check-in form daily beginning on their first day back.

Employees are not required to complete the health check-in between December 19, 2020 and January 3, 2021, while the university is on break, unless they are assigned to work or come to UVM facilities for any reason during that time.

The updates to the form are as follows and are listed in italics:

  • Question #4 (the contact question) has been updated to include multi-household gatherings. Specifically, the question now reads:

4. To your knowledge, today or in the past 14 days have you been in close contact* with a person who has, or is suspected by a medical professional to have, COVID-19?

*Close contact is defined as being less than six feet from an infected person for a cumulative total of fifteen minutes or more over a 24-hour period without medically appropriate personal protective equipment (PPE). Note: a facial covering is not PPE.

As a reminder, on November 20, 2020, the Governor restricted indoor and outdoor gatherings with individuals outside of your household with two exceptions. The recent increases in cases in Vermont is directly tied to gatherings where a person is positive and may not know. The exceptions are: Vermonters may (1) gather with a member of their immediate family who lives alone and resides in a different household, or (2) engage in limited outdoor fitness activity involving no more than one individual from another household, while adhering to physical distancing and mask requirements.

  • If you respond “Yes” to question 4, we have added the following to the instructions you receive:

You may not return to a UVM facility until you have either been cleared by a healthcare provider or you have completed a mandatory quarantine and have not shown any symptoms. From the date of your contact/gathering, the required quarantine period consists of either 14 days or 7 days followed by a negative test result. 

  • If you respond “Yes” to question 5 (Have you traveled outside Vermont in the past 14 days for non-essential reasons?), we have added the following to the instructions you receive:

Please call your supervisor to inform them. You must then either contact the Vermont Department of Health at 802-863-7240 for next steps or you must self-quarantine. Quarantine begins on the day you return home and continues for either 14 days or for 7 days followed by a negative test result. 

The electronic employee daily health screening check-in web form can be accessed at

Individuals who do not have access to a computer and/or smart phone must continue to complete the daily health screening with their supervisor over the telephone before reporting to work. The Employee Health Check-In form (pdf) is posted on the HRS website. 

UVM clinical faculty who hold joint appointments between UVM and UVMMC (including all UVMMC buildings) or the UVM Health Network Medical Group continue to only have to complete their daily health screening through the UVMMC process and not through UVM. UVM clinical faculty who have not already been screened on a given day by the UVMMC health screen process continue to be required to complete the UVM check-in process before entering UVM/LCOM facilities.

The COVID-19 Information and Service Center is available to answer any questions you may have. Service Center personnel can be reached at or at 802-656-1010.

Gary L. Derr
Vice President for Operations and Public Safety
The University of Vermont


Gary Derr, VP for Operations and Public Safety