EXTERNAL VISITOR DECLARATION
I, the undersigned ___________________________________ Tax Code: _________________________________________ born on ____ / ___ / ____ in __________________________________________________________________ (_____) resident in ____________________________ (_____) Via _______________________________________ no _____ 
□ as external visitor __________________________________________________________  
invited to visit on ____ / ___ / ____ the following University Building/Office _______________________________________________________________________________________ by _________________________________________- (enter name of who invited the visitor)
aware of the criminal sanctions in the case of untruthful statements of qualification or use of false documents referred to in Art. 76 of Presidential Decree 445/2000:
Hereby declare
 a) that I have read and understood the “COVID-19 Risk Management Protocol and Plan to Mitigate Transmission in the Workplace" adopted by the university and to comply fully with the requirements for the time spent within university premises.
I also 							declare that: 
b) I have not been issued a quarantine order 
c) I have not been in contact with people testing positive, as far as I know, in the last 14 days.
d) I am aware of the obligation of a body temperature check and assessment of my overall health conditions, before going to the university, and I undertake to respect this provision: my body temperature must be lower at 37.5 °C and my overall health conditions must be free from flu symptoms (cough and/or sore throat and/or cold).
e) I have received and signed this information notice.
A copy of an identification document is attached. 

Date ________________________ Signature __________________