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Contact Person: ___ Date: ___ Address: ___ ___ Phone #: ___ Email Address: ___ Number of Participants: ___ Name of Group (if applies): ___ Date Requested: ___ Times (start and end): ___ AQUATIC FACILITY

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How to fill out covid-19 close contact form

01

Fill in your personal information such as name, date of birth, and contact details.

02

Provide information about your close contact with someone who tested positive for covid-19, including dates and locations of contact.

03

Answer any specific questions about your interaction with the positive case, such as duration of contact and whether or not you were wearing a mask.

04

Sign and date the form to confirm the accuracy of the information provided.

Who needs covid-19 close contact form?

01

Anyone who has been in close contact with someone who tested positive for covid-19 needs to fill out a covid-19 close contact form.

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What is covid-19 close contact form?

The covid-19 close contact form is a document used to report individuals who have been in close contact with someone who has tested positive for covid-19.

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

Individuals who have been identified as close contacts of someone who has tested positive for covid-19 are required to file the covid-19 close contact form.

How to fill out covid-19 close contact form?

The covid-19 close contact form can be filled out online or on paper, and must include information about the close contact, their contact information, and any relevant exposure details.

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

The purpose of the covid-19 close contact form is to help public health officials track the spread of the virus and notify individuals who may have been exposed to covid-19.

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

The covid-19 close contact form requires information such as the name and contact information of the close contact, details of the exposure, and any symptoms experienced.

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