HIGH RISK INDIVIDUAL - "At an Increased Risk"
Complete this form if you fall under the “at an increased risk” of severe illness from COVID-19 as defined by the Governor’s extension of proclamation 20-46.2 and are requesting accommodations. “At an increased risk” includes the following conditions as defined by the CDC:
• Chronic kidney disease
• COPD (chronic obstructive pulmonary disease)
• Immunocompromised state (weakened immune system) from solid organ transplant
• Obesity (body mass index [BMI] of 30 or higher)
• Serious heart conditions, such as heart failure, contrary artery disease, or cardiomyopathies
• Sickle cell disease
• Type 2 diabetes mellitus
HIGH RISK INDIVIDUAL - Resides in Your Household
Complete this form if an individual that resides in your household is considered “higher risk" of severe illness from COVID-19 as defined by the Governor’s proclamation and are requesting accommodations.
EMPLOYEES WHO HAVE HEALTH CONCERNS - Associated with COVID-19
Complete this form if you are an employee whose assignment requires work at a District work site and who has health concerns associated with COVID-19.