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COVID-19 CONTACT INFORMATION FORM FOR NONRESIDENTIAL CONGREGATE SETTINGS Name of Facility : Phone: () Address: Contact Person & Information: Date first completed: / / Updated (if needed): / / CASE

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How to fill out covid-19 contact information form

01

Start by opening the covid-19 contact information form.

02

Read the instructions carefully and understand the purpose of the form.

03

Provide your personal information such as your name, address, and contact number.

04

Answer the questions regarding your recent travel history, if any.

05

Answer the questions regarding your exposure to individuals who have tested positive for covid-19.

06

Provide any additional information requested, such as symptoms or medical history.

07

Review all the information you have provided and make sure it is accurate.

08

Submit the form according to the given instructions.

Who needs covid-19 contact information form?

01

Any individual who has either tested positive for covid-19, has been exposed to someone with covid-19, or has symptoms related to covid-19 needs to fill out the covid-19 contact information form.

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What is covid-19 contact information form?

The covid-19 contact information form is a document that individuals, businesses, or organizations must fill out to provide contact information in the event of a COVID-19 exposure or outbreak.

Who is required to file covid-19 contact information form?

Individuals who have been exposed to COVID-19, as well as businesses and organizations that accommodate the public, are often required to file this form.

How to fill out covid-19 contact information form?

To fill out the covid-19 contact information form, individuals should provide their name, contact details, and any relevant health information or history of exposure as required by the specific guidelines.

What is the purpose of covid-19 contact information form?

The purpose of the covid-19 contact information form is to facilitate contact tracing and ensure that individuals who may have been exposed to the virus can be notified and guided on necessary health protocols.

What information must be reported on covid-19 contact information form?

Typically, the form must report personal identification information such as name, address, phone number, email, and details about potential exposure to the virus.

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