COVID-19 Data Bank (Templates & Forms)

Fisher Phillips maintains a comprehensive databank of templates, forms, and other resources related to COVID-19 available to clients and the general public. The below documents are available through your Fisher Phillips attorney. Please contact your attorney directly for access to these forms.

COVID-19 Resources

  • California Model Notices 
  • California Written COVID-19 Prevention Program 
  • California Injury and Illness Prevention Program (IIPP) (with COVID-19 Addendum)
  • California COVID-19 Training Presentation
  • California Senate Bill (SB) 93 Checklist and Templates
  • COVID-19 Contact Tracing Form 
  • COVID-19 OSHA 300 Log Reporting Checklist
  • COVID-19 Return to Work Summary - Workplace Safety Overview
  • Disposable Mask Use
  • Employee Consent Form for COVID-19 Testing and Daily Temperature Checks
  • Model Assumption of Risk and Waiver of Liability Relating to COVID-19 
  • Model Remote Work Policy (in light of COVID-19)
  • Pre-Shift Employee COVID-19 Screening Questionnaire 
  • Return to Work COVID-19 Policy and Acknowledgement
  • Return to Work Employee Questionnaire
  • Steps to Address a COVID-19 case in a California Workplace 
  • Voluntary Respirator Use Agreement (California and Non-California)

Vaccine Resources

  • California Healthcare Vaccination Policy
  • California Healthcare Exemption/Accommodation Form
  • Employee Authorization to Disclose Vaccination Status (CA and Non-CA)
  • Employee Authorization to Disclose Test Results (CA and Non-CA)
  • Federal Contractor Vaccination Policy
  • Federal Contractor Model Determination of Vaccination Status Form
  • Model Communication to Employees Regarding Federal Contractor Mandate
  • Model Mandatory Vaccination Job Posting and Job Offer Language for Federal Contractor Mandate
  • Mandatory Vaccine Policy Communication to Employees
  • Model Mandatory Vaccination Job Posting and Job Offer Language
  • Model Communication Approving Accommodation Request
  • Model Communication Denying Accommodation Request
  • Model Communication to Vendors and Third Parties Regarding COVID-19 Protocols and Policies

FP COVID-19 and Vaccine Toolkits (Flat-Fee Purchases)

  • Cal/OSHA ETS Toolkit (3rdReadoption - Effective May 6, 2022) (English and Spanish) ($1,500)
    • Summary of Key Revisions to Cal/OSHA’s ETS
    • Comprehensive Summary of Cal/OSHA’s ETS
    • Sample Communication to Employees Regarding Key Changes
    • Revised Written COVID-19 Prevention Program (WCPP)
    • Sample Self-Certification of Vaccine Status (with new booster inquiry)
    • Sample COVID-19 Contact Tracing Form
    • Template Notices When There is a COVID-19 Case in the Workplace
    • Memo for Employers With Steps When There is a COVID-19 Case in the Workplace
    • Exclusion Pay Memo to Employees
    • Return to Work Attestation
    • CA Disclosure Authorization
    • Sample Communication to Employees Regarding Return to Work and Testing
    • Revised Training PPT
  • FP Vaccine Toolkit ($1,500)
    • Vaccine policy checklist
    • Model “mandatory vaccination” policy
    • Model “vaccination or testing” policy
    • Training PPT and training notes
    • Vaccine tracking tool
    • Attestation form to collect vaccine status and proof
    • Sample communication to employees regarding vaccination policy
    • COVID-19 accommodation checklist
    • Vaccine mandate accommodation guide
    • Accommodation forms
  • CMS Vaccine Mandate Toolkit ($1,500)
    • CMS mandatory vaccine policy checklist
    • Model “CMS Mandatory Vaccination” Policy
    • Vaccine tracking tool
    • COVID-19 accommodation checklist
    • CMS-specific accommodation forms (e.g., medical contraindication, temporary delay, etc.)
    • Sample communication regarding implementation of vaccination policy
  • Masking Policy Toolkit ($250)
    • Mask policy
    • Sample communication to employees regarding policy
    • Appendix D for respirators
  • California 2022 Supplemental Paid Sick Leave Policy Toolkit (English and Spanish) ($250)
    • Summary of 2022 supplemental paid sick leave requirements
    • Model policy
    • Leave request form
    • State-required notices (English and Spanish)
  • Massachusetts COVID-19 Temporary Emergency Sick Leave Toolkit ($500)
    • Required state-issued poster
    • Model policy
    • Leave request form

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