Service Provider/Volunteer COVID-19 Compliance Certification

DePaul University Annual Individual Service Provider/Volunteer COVID-19 Compliance Certification Pursuant To Illinois Executive Order 2021-20 (COVID-19 Executive Order No. 87)

I, , certify that I will assist in mitigating the risk of spreading COVID-19 to the DePaul University community by complying with Illinois Executive Order 2021-20 (COVID-19 Executive Order No. 87) while performing services or volunteering on campus. Minimally, I agree that:

  1. I shall comply with posted COVID-19 safety directives, such as wearing a mask covering their nose and mouth while inside any DePaul facility.
  2. I shall be fully vaccinated for COVID-19 and shall be prepared to provide proof of vaccinated status upon request.
  3. I have an exemption from the vaccination requirement for a qualifying medical or religious reason:1
    1. I shall complete testing on a weekly basis to confirm that I remain negative for COVID-19.
    2. I shall wear a mask at all times while on site at DePaul.
    3. I shall be prepared to provide proof of my most recent weekly negative test results upon request.
  4. If I test positive for COVID-19, I will not return to DePaul until after 10 days since symptoms first appeared and at least 24 hours with no fever and improved symptoms or after a negative COVID-19 test, whichever is longer.

1A healthcare provider must have certified your need to receive a medical exemption from the Executive Order’s vaccination requirement. Your need to receive a religious exemption from the Order must be certified by a sincerely held religious belief.