In-Service Center Visitor COVID Certification Form

Participants in face to face trainings at the UA Regional In-Service Center must review and complete the form below prior to coming to campus.  If a participant answers yes to any of the questions, he or she should not come to campus without first talking with their personal physician or contacting the University’s COVID Hotline at 205.348.CV19 or 2819.  If participants answer no to all questions, they need to bring the completed, signed and dated form with them to campus. The form will be collected by the session instructor or a representative of the UA Regional In-Service Center.

Printable COVID Certification Form