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Vendor COVID-19 Test Submission

Pursuant to Executive Order 21-07 issued by Governor Ige on September 9, 2021, all contractors entering, working, or providing services in any state facility must:

  • • Identify all employees accessing state facilities
  • • Attest to whether employees are fully vaccinated for COVID-19, partially vaccinated ( one of two doses), or not vaccinated for COVID-19.
  • • Provide weekly verification that partially vaccinated or unvaccinated employees are being COVID-19 tested with a negative result once a week.
  • • Wear a mask at all times while in the state facility, and physically distance themselves from others.

Contractors working in the following East Hawaii Region’s facilities’.Hilo Medical Center, Ka’u Hospital, Hale Hoola Hamakua, East Hawaii Health Clinics, and the Yukio Okutsu Veterans Home are subject to this executive order.
If you are going to be working at one of these locations on or after September 13, 2021 you are requested to submit the above requested information.

Fill out the form below to submit the information.

Your support and assistance to the East Hawaii Region and the health of our community by complying with the Governors Executive order is greatly appreciated.

Contractor Information
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