CDC Notice Regarding CDC Facilities COVID-19 Screening

Staff and visitors must self-screen for COVID-19 symptoms before entering CDC facilities using CDC’s COVID-19 self-screening tool on their mobile device or on a paper form at designated locations at facility entrances. You must use the tool to provide confirmation to the designated CDC representative that you are approved for access before being granted access to CDC facilities.

If you decline to self-screen using CDC’s COVID-19 screening tool, you will be provided the option of completing a paper version. If you decline to self-screen using either option, you will be denied entry to CDC facilities.

If you are a CDC employee or contractor who is denied entry, you must speak with your immediate supervisor or contracting officer’s representative (COR) and/or management company about telework and/or leave options.

Federal employees who make a false statement on this form could be subject to an adverse personnel action, up to and including removal from their position. It is also a federal crime (18 U.S.C. § 1001) for anyone to provide false information on this form. Falsification could also affect continuing eligibility for access to classified information or for employment in a national security position under applicable adjudicative guidelines.

Additional Information

  • No personally identifiable information will be recorded.
  • If you have a chronic medical condition that causes COVID-19-like symptoms and you need to access a CDC facility within the next few days, please call the CDC Occupational Health Clinic at 404-639-3385 to determine whether you can safely be granted access to a CDC facility. If you do not require access to a CDC facility but have concerns about your symptoms, please contact your primary care provider.
  • If you are a contractor who is denied entry, you should contact your contracting officer’s representative (COR) and/or management company for further guidance and direction.

Authorities: Executive Order 12196; 5 U.S.C. Chapters 11, 33, and 63

CDC Facilities COVID-19 Screening
Access To CDC Facilities Not Approved - Further Instructions
CDC Notice Regarding CDC Facilities COVID-19 Screening

CDC staff who fail to provide accurate information on this form may be subject to disciplinary action.

This tool was developed by the Centers for Disease Control and Prevention (CDC) for use by CDC. The tool, however, is in the public domain and may be recreated, utilized, and adapted by the public at will.  The CDC name and logo may not be utilized if the tool is recreated for use by an external entity.  The tool is provided “as-is”; CDC accepts no liability for the use by an external entity.  The external entity assumes all risks and liabilities associated with the recreation, utilization and adaption of the tool for external entity’s use. CDC will not provide any support for the tool if recreated by an external entity.  CDC, with regard to this tool, makes no other representations, warranties, express or implied, and hereby disclaims all implied representation and warranties, including any warranty of merchantability and warranty of fitness for a particular purpose.

Page last reviewed: March 1, 2021