FPC Visitor Form

FIC facility

Photo by FPC

Visit Start Date Required
Visit End Date Required

Visitors must acknowledge that they are symptom-free from Covid. The key items being implemented to prevent the spread of Covid-19 include:

  • All visitors must wear a facial covering or facemask at all times with the following exceptions.
  • When eating/drinking; however, social distancing practices must be observed.
  • When alone in an office or conference room.
  • The number of visitors is limited based on the Lancaster County Risk Dial found here: Lincoln.ne.gov/city/covid19
  • Moderate/Yellow risk limits our visitors per project to 4.
  • High/Orange risk limits our visitors per project to 2.
  • If Severe/Red level is reached, we cannot receive any visitors (though projects may be operated by our staff and accommodations can be made to share progress remotely).
Visitor Policy Required
COVID Health Check

Are you currently, or in the last 14 days experiencing or displaying any of the following symptoms:

  • Elevated temperature or fever of 100.4F or higher,
  • Cough,
  • Shortness of breath and/or difficulty breathing,
  • Loss of smell and/or taste
  • Fatigue, muscle aches, chills, shaking, or
  • Persistent headaches.
Please answer the above statement Required
In the last 14 days have you had any close contact with anyone who is either confirmed or suspected of being infected with COVID-19, including anyone who is experiencing or displaying any of the known symptoms of COVID-19 (which are listed below)? Required
Purpose of my Visit Required