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Demographic Information Name: DOB: Age: Gender: Male Female Trans* NonBinary/GNC Preferred Pronouns: Address: City, State, Zip: Phone Number: () Email: Okay to leave voice message? Yes Any special
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Pzer Moderna RUMC employee likely refers to employees working at Pfizer or Moderna who are affiliated with the Chicago-based Rush University Medical Center (RUMC), involved in vaccination or research related to COVID-19.
Employees of Pfizer or Moderna working in collaboration with RUMC or similar organizations may be required to file reports regarding their employment status, vaccine distribution, or related activities.
To fill out the necessary forms, employees should provide accurate personal information, job title, employment dates, and any relevant data related to vaccine distribution or research as specified by their employer.
The purpose is to track employee contributions to vaccine research, distribution, and compliance with health and safety regulations, ensuring efficient health response and reporting.
Employees must report their personal identification details, job responsibilities, hours worked, vaccine distribution numbers, and any incidents relevant to their work.
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