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COVID-19 EXPOSURE FORM 1. My name is, I reside at the following address:(and my telephone number is:)2. While working at: Place and Address of Exposure (Ex: Elevator of The Marriott Brooklyn Bridge,
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Step 5: Provide information about your recent travel history, including the countries you visited and the dates of your visit.
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The COVID-19 Exposure Form v1.docx is a document used to report potential exposure to COVID-19 in workplace or organizational settings.
Employees, students, or any individuals who have potentially been exposed to COVID-19 in a relevant environment are required to file the COVID-19 Exposure Form v1.docx.
To fill out the COVID-19 Exposure Form v1.docx, individuals must provide personal information, details of the exposure, and any symptoms experienced as per the form's guidelines.
The purpose of the COVID-19 Exposure Form v1.docx is to document exposure incidents for tracking, reporting, and assisting in public health measures.
The form requires reporting personal details, date of exposure, contact information, symptoms, and any testing information related to COVID-19.
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