COVID-19 Visitor Notice

Based on the latest advice from the World Health Organization (WHO and U.S. Centers for Disease Control (CDC) in responding to the Novel Coronavirus COVID-19), IWM International, LLC has implemented a temporary COVID-19 Visitor and Travel Policy.

The COVID-19 Visitor and Travel Policy requires that each person visiting IWM International, LLC facility or any employee returning to an IWM facility from a location as described below must affirmatively confirm the following statements before entering any IWM International, LLC property:

1. I have traveled from, through or to a Level 2 or Level 3 location as defined by the CDC (currently China, Iran, Italy, Japan, South Korea), California, Washington State, New York, or traveled on a Cruise Ship in the last 14 days.*

Yes
No

2. I have traveled using public transportation (airplane, bus, train/subway, etc.) in the last 14 days.*

Yes
No

3. I have been in close contact with a person infected with (or presenting symptoms of) COVID-19 or anyone who has traveled, through or to a Level 2 or Level 3 location as defined by the CDC (currently China, Iran, Italy, Japan or South Korea), California, Washington State, New York, or traveled on a Cruise Ship in the last 14 days.*

Yes
No

4. I am experiencing (and have recently experienced) any symptoms of COVID-19, which the CDC has identified as cold or flu-like symptoms, including fever, cough, or shortness of breath in the last 14 days.*

Yes
No

If these statements are true for you, please confirm by entering your name and date below:

Name*

First Last

Date*

If for any reason these statements are untrue, we are sure that we can find alternate means of communication or reschedule your visit. If you are a current employee of IWM, please contact your supervisor for additional instructions. Thank you for your help with these precautionary methods.

Please fill out the following information below:

Name*

First Last

Applicant or Visitor*

Applicant
Other Visitor - Vendor

Company

Reason for Visit*

Date of Visit*

Plant Location*

Hanover
York

IWM Contact Name*

Email*

Phone*

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Name

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COVID-19 VISITOR NOTICE

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