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FAMILIES FIRST CORONAVIRUS RESPONSE ACT REQUEST Iowa CountyReturn completed form to Employee Relations OfficeMax allison.leitzinger@iowacounty.org Fax 6089350325SECTION 1: Employee Information Employee
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Form Health Department is a document used to report health-related information to the local health department.
Healthcare facilities, food establishments, and other regulated entities are required to file form health department.
Form Health Department can usually be filled out online or submitted in person at the local health department office.
The purpose of form health department is to ensure compliance with health and safety regulations, and to track and monitor public health issues.
Information such as number of employees, type of services provided, health and safety protocols, and any health incidents must be reported on form health department.
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