Internal Users

Vaccination Vacation Day Credit Form

Employees can provide a copy of their vaccination record to Managing Directors. When the below information is completed, send all copies to Leslie in Human Resources. Directors should not keep copies of these records.

* Indicates required field

Managing Director *

Department *

Employee Information

Employee Name *

First

Last

Employee Number *

Employment Status *

Full Time Part Time Reserve

Enter the date of the second (final) vaccination (or the single shot Johnson & Johnson vaccination).

Month *

Day *

Year *

Submit

COVID-19 Exposure Report Form

Positive Case / Symptomatic Employee / Outside Direct Exposure Report Form

* Indicates required field

Employee Name *

First

Last

Department *

Submitted by *

Check all that apply *

Positive Case - Symptomatic Positive Case - Non-symptomatic Direct Exposure - Outside of work Vaccinated

Test date - if test hasn't been performed yet or exposed is a vaccinated person, enter "Pending" or "N/A" *

Symptom Onset Date DD/MM/YY - if no symptoms type NO *

Work location *

Exposure and symptom information and notes *

Contact Tracing Information
Any Employee (or other person) who was in direct contact with a positive case. Use the fields below. If more, use the comment field at the end of the form. All Direct and Indirect Exposures should be notified of their status and updated when any results are received for the original case.

Direct Exposure Name (and Dept if different) *

Secondary Exposure - list for future contact if needed. *

Submit

Employee Advanced Information Section

Locations & Business Hours

Municipal Center Offices
400 West Broadway Avenue
Maryville, TN 37801
8 a.m. - 5 p.m.*
865-273-3900
*Development Services, Engineering, and Administration departments are closed for lunch 12 p.m. - 1 p.m.

Customer Service Desk
400 West Broadway Avenue
Maryville, TN 37801
8 a.m. - 4:30 p.m.
865-273-3456

Operations Center Offices
332 Home Avenue
Maryville, TN 37801
7:30 a.m. - 4 p.m.
865-273-3300

Vaccination Vacation Day Credit Form

COVID-19 Exposure Report Form

Positive Case / Symptomatic Employee / Outside Direct Exposure Report Form

Employee Advanced Information Section

Policy

Contact Us

Locations & Business Hours