Member FDIC | Equal Housing Lender
Privacy Policy

COVID-19 Screening Form
Submitter Information (Required)
First Name
(required)
Last Name
(required)
Resolve the errors marked in red before submitting again.
Phone Number
Branch (required)
Select your preferred branch from the drop-down menu
 
 
Services Needed (required)
Select from the drop-down menu
 
 

Customers are asked to wear a face mask upon entering. If you do not have a face mask, one will be provided to you. Guadalupe Bank will check your temperature upon arrival. The CDC considers a person to have fever when they have a measured temperature of at least a 100.4 degrees Fahrenheit. Coffee services, drinking fountains and restrooms are not available for public use. A Customer Service Representative will be in contact with you within one banking day following submission of this form.

Have you traveled outside of Kerr or Gillespie County in the past 14 days? (required)
If Yes, where?
Did you spend time in large crowds or crowded areas? (required)
Have you tested positive for COVID-19? (required)
Have you been tested for COVID-19 and are awaiting results? (required)
Do you have any of the following symptoms?
Select all that apply
Have you been in contact with someone who has tested positive for COVID-19 in the past 14 days? (required)
Have you traveled outside of the United States by air or cruise ship in the past 14 days? (required)
Have you traveled within the United States by air, bus, or train within the past 14 days? (required)
Have you been in close contact with or are you staying in the same household as someone with a confirmed or suspected case of COVID-19? (required)

Testing for COVID-19 is considered on a case-by-case basis in consultation with local health officials.  Guadalupe Bank reserves the right to restrict entry into its facilities for any individual it feels presents arisk of infection.  Entry will not be permitted without documentation indicating the absence of infectionfrom an appropriate healthcare provider.