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COVID Notice

When you are not able to work due to a positive test or COVID symptoms after exposure, please complete this form to assist us with contract tracing.
  • Please be specific - Roommate, friend, parent, sibling, boyfriend, girlfriend, etc.
  • MM slash DD slash YYYY
  • Max. file size: 400 MB.
  • MM slash DD slash YYYY
  • The CDC says that you are contagious 48 hours before symptoms appear. During this time frame, who do you think you were within 6 feet of for at least 15 minutes while at work? Please names individually - Not just "co-workers"
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  • MM slash DD slash YYYY
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