Return To Work Form

  • If YES to the above, please self-isolate and contact your GP for advice. Inform CIL.
  • If YES, continue to self-isolate, i.e. stay indoors and completely avoid contact with other people, including others in your household. Inform CIL.
  • If YES, continue to self-isolate, i.e. stay indoors and completely avoid contact with other people, including others in your household. Inform CIL.
  • If YES, continue to restrict your movements for 14 days by staying at home and avoiding contact with others as much as possible. Inform CIL.
  • If YES, continue to follow advice received from your GP or HSE. Inform CIL.
  • If YES, continue to follow advice received from your GP or HSE. Inform CIL.
  • If YES, continue to follow advice received from your GP or HSE. Inform CIL.
  • If YES, you must follow national quarantine guidelines. Inform CIL.
  • If YES, please confirm with Payroll if and when you have received this.
  • If YES, please confirm with Payroll if and when you have received this.
  • If you are unsure whether or not you are in an at-risk category, please check www.hse.ie or speak to a member of staff for further information. If your situation changes after you complete and submit this form, please tell management.
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