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Close Contact and Exposure Return to School Statement Based on Emergency Rule 64DER2115, parents or legal guardians of students who are known to have been in direct contact with an individual who

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How to fill out close contact and exposure

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To fill out close contact and exposure, follow these steps:

02

Start by opening the contact and exposure form.

03

Fill in the personal information section accurately, including your name, date of birth, and contact details.

04

Provide details about the close contact, such as their name, relationship to you, and their contact information.

05

Specify the date and duration of the close contact, as well as the location where it occurred.

06

Describe the nature of the contact and any known exposure to a contagious illness or virus.

07

Answer any additional questions or provide any further information requested on the form.

08

Review the provided information for accuracy and make any necessary corrections.

09

Submit the completed form as instructed, either electronically or by hand-delivering it to the specified recipient.

Who needs close contact and exposure?

01

Close contact and exposure forms are typically required for individuals who have been in close proximity to someone who has been diagnosed with a contagious illness or virus.

02

This includes family members, friends, or individuals who have spent a significant amount of time with an infected person.

03

Healthcare workers and first responders who have been in direct contact with COVID-19 patients may also need to fill out such forms.

04

Additionally, individuals who have recently traveled to an area with a high risk of infection may be required to provide this information for contact tracing purposes.

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What is close contact and exposure?

Close contact refers to being within 6 feet of an infected person for a cumulative total of 15 minutes or more over a 24-hour period. Exposure means being in close contact with someone who has tested positive for a contagious disease.

Who is required to file close contact and exposure?

Anyone who has been in close contact or exposure with a person who has tested positive for a contagious disease is required to file close contact and exposure report.

How to fill out close contact and exposure?

Fill out the close contact and exposure report by providing details of the contact, including date, time, duration, and any symptoms experienced.

What is the purpose of close contact and exposure?

The purpose of close contact and exposure report is to track and prevent the spread of contagious diseases by identifying individuals who may have been exposed.

What information must be reported on close contact and exposure?

Information that must be reported includes details of the contact, symptoms experienced, and any actions taken after exposure.

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