COVID-19: Sample Plans, Policies, Forms and Messages

Return to main COVID-19 Resource Page.

Resource Page by our HR partner MRA (Guides, Sample Letters and Policies)

• Confirmed Positive COVID-19 Test – 10 Steps for Employers (by our HR partner MRA)
• Sample Coronavirus (COVID-19) Prevention and Control Plan (by GLGA member Vista Safety Consulting)
• Sample Pandemic Preparedness Plan (by GLGA member Vista Safety Consulting)
• Sample – Employee Notice from a Manufacturing Company
• Sample – Email Message to Employees
• Sample – Message to Employees About Mandatory Face Masks in the Workplace
• Sample – Workplace Corona Virus Plan
• Sample – Recall to Work After Layoff Due to COVID-19
• Sample – Termination – Failure to Return to Work Following Layoff Recall
• Contact Tracing at Work, Works — and it’s Not That Complicated (with downloadable flow chart; by Mercer Health Care)

OSHA Emergency Temporary Standard for COVID Vaccination and Testing (100 or more employees)

• Sample Policy – OSHA ETA-Compliant Vaccination Policy (by our HR partner MRA, 11/18/21. Download is a Word file.)

Emergency Paid Sick Leave under the Families First Coronavirus Response Act

• HR Checklist – Families First Coronavirus Response Act (by our HR partner MRA; download in Word format)
• Sample – Memo to Employees about Emergency Paid Sick Leave (by our HR partner MRA; download in Word format)
• Sample – Request Form for Emergency Paid Sick Leave (by GLGA member Lindner & Marsack; download in Word format)

Cleaning and Sanitation

• Sample – Employee Acknowledgment of COVID-19 Protective Measures in the Workplace

Working Remotely:

• Sample – Working from Home Sample Policy (by our HR partner MRA; download in Word format)

• How to Manage a Sales Team Remotely (Cashin Sales, 04/30/20)
• How to Run Productive Remote Meetings
• Suddenly Working from Home? Tips to Help with Your Transition
• Tips for Working From Home Effectively
• How to Run a Great Virtual Meeting

HR Issues:

• Sample policy – Personal Travel During COVID-19 Pandemic (by our HR partner MRA; download in Word format)
• Paying Employees During the Coronavirus (COVID-19) Pandemic (by our HR partner MRA)
• Sample form – Face Mask Exemption Request
• Back-to-School Employer Accommodation Ideas

Health Screening Forms:

• Sample (from our HR partner MRA; download in Word format) – Health Screening Questionnaire for Employees and Visitors
• Sample (from a GLGA member) – Health Screening Form
• Sample (from Illinois Department of Public Health) – Health Screening Questionnaire
• Sample (from a GLGA member) – On-Site Visit Checklist

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