COVID-19 Data Bank (Templates & Forms)
Fisher Phillips maintains a comprehensive databank of templates, forms, and other resources related to COVID-19 available to clients and the general public. The below documents are available through your Fisher Phillips attorney. Please contact your attorney directly for access to these forms.
COVID-19 Resources
- California Model Notices
- California Written COVID-19 Prevention Program
- California Injury and Illness Prevention Program (IIPP) (with COVID-19 Addendum)
- California COVID-19 Training Presentation
- California Senate Bill (SB) 93 Checklist and Templates
- COVID-19 Contact Tracing Form
- COVID-19 OSHA 300 Log Reporting Checklist
- COVID-19 Return to Work Summary - Workplace Safety Overview
- Disposable Mask Use
- Employee Consent Form for COVID-19 Testing and Daily Temperature Checks
- Model Assumption of Risk and Waiver of Liability Relating to COVID-19
- Model Remote Work Policy (in light of COVID-19)
- Pre-Shift Employee COVID-19 Screening Questionnaire
- Return to Work COVID-19 Policy and Acknowledgement
- Return to Work Employee Questionnaire
- Steps to Address a COVID-19 case in a California Workplace
- Voluntary Respirator Use Agreement (California and Non-California)
Vaccine Resources
- California Healthcare Vaccination Policy
- California Healthcare Exemption/Accommodation Form
- Employee Authorization to Disclose Vaccination Status (CA and Non-CA)
- Employee Authorization to Disclose Test Results (CA and Non-CA)
- Federal Contractor Vaccination Policy
- Federal Contractor Model Determination of Vaccination Status Form
- Model Communication to Employees Regarding Federal Contractor Mandate
- Model Mandatory Vaccination Job Posting and Job Offer Language for Federal Contractor Mandate
- Mandatory Vaccine Policy Communication to Employees
- Model Mandatory Vaccination Job Posting and Job Offer Language
- Model Communication Approving Accommodation Request
- Model Communication Denying Accommodation Request
- Model Communication to Vendors and Third Parties Regarding COVID-19 Protocols and Policies
FP COVID-19 and Vaccine Toolkits (Flat-Fee Purchases)
- Cal/OSHA ETS Toolkit (3rdReadoption - Effective May 6, 2022) (English and Spanish) ($1,500)
- Summary of Key Revisions to Cal/OSHA’s ETS
- Comprehensive Summary of Cal/OSHA’s ETS
- Sample Communication to Employees Regarding Key Changes
- Revised Written COVID-19 Prevention Program (WCPP)
- Sample Self-Certification of Vaccine Status (with new booster inquiry)
- Sample COVID-19 Contact Tracing Form
- Template Notices When There is a COVID-19 Case in the Workplace
- Memo for Employers With Steps When There is a COVID-19 Case in the Workplace
- Exclusion Pay Memo to Employees
- Return to Work Attestation
- CA Disclosure Authorization
- Sample Communication to Employees Regarding Return to Work and Testing
- Revised Training PPT
- FP Vaccine Toolkit ($1,500)
- Vaccine policy checklist
- Model “mandatory vaccination” policy
- Model “vaccination or testing” policy
- Training PPT and training notes
- Vaccine tracking tool
- Attestation form to collect vaccine status and proof
- Sample communication to employees regarding vaccination policy
- COVID-19 accommodation checklist
- Vaccine mandate accommodation guide
- Accommodation forms
- CMS Vaccine Mandate Toolkit ($1,500)
- CMS mandatory vaccine policy checklist
- Model “CMS Mandatory Vaccination” Policy
- Vaccine tracking tool
- COVID-19 accommodation checklist
- CMS-specific accommodation forms (e.g., medical contraindication, temporary delay, etc.)
- Sample communication regarding implementation of vaccination policy
- Masking Policy Toolkit ($250)
- Mask policy
- Sample communication to employees regarding policy
- Appendix D for respirators
- California 2022 Supplemental Paid Sick Leave Policy Toolkit (English and Spanish) ($250)
- Summary of 2022 supplemental paid sick leave requirements
- Model policy
- Leave request form
- State-required notices (English and Spanish)
- Massachusetts COVID-19 Temporary Emergency Sick Leave Toolkit ($500)
- Required state-issued poster
- Model policy
- Leave request form