Request for critical worker exception
You will need to complete this form to request critical worker exemption from self-isolation. This process will remain in place until the national guidance changes on 16th August 2021.
Please be aware that exemptions are agreed on a case by case basis and before completing this form you should have taken all actions to maintain business continuity as detailed in your business continuity plan.
If you have done this and still feel that your service cannot continue safely, this form will allow you to identify specific individuals and specific, face to face tasks that will ensure your service operates safely. This process is only available to staff who:
are contacts of a non-household COVID-19 case,
are fully vaccinated with both doses of an MHRA approved vaccination and more than 14 days had elapsed since the final dose at the time of last contact with the positive case,
have a negative PCR test result,
can test with lateral flow tests for at least 7 days (and to a maximum of 10 days/ completion of the identified isolation period) prior to starting work each day,
can use appropriate PPE.
If you have any problems completing this form, please contact firstname.lastname@example.org for assistance.