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Employee Face Covering/Mask Clearance Request Form

Please follow the directions as provided below.  Please contact Human Resources should you have any questions at hrcovid19@mtsac.edu

CONFIDENTIALITY 

State law and Federal privacy rules and regulations require that immunization information be kept confidential and stored securely. Your immunization data is stored in a secure database that can only be accessed by authorized users. These users must sign an agreement and follow strict confidentiality and security policies.