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TA736 COVID-19 (11/20)New York State Division of Tax AppealsCOVID19 Health Screening Report Hearings This form is to be completed by any individual, other than a Division of Tax Appeals (DTA) employee,

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How to fill out covid-19 health screening report

01

Gather all necessary information such as personal details, recent travel history, contact with infected individuals, and current symptoms.

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Access the official covid-19 health screening report form from a reliable source.

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Carefully fill out all the required fields in the form, including your name, date of birth, address, and contact information.

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Provide accurate details about your recent travel history, any known contact with infected individuals, and any symptoms you may be experiencing.

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Review the completed form for any errors or missing information before submitting it.

Who needs covid-19 health screening report?

01

Anyone who is required to undergo covid-19 testing or screening by their employer, school, healthcare provider, or government authorities.

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Individuals who suspect they may have been exposed to someone with covid-19 or are experiencing symptoms of the virus.

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What is covid-19 health screening report?

A COVID-19 health screening report is a document that assesses individuals for symptoms, exposure, and risk factors associated with COVID-19, usually required for entry into workplaces or events.

Who is required to file covid-19 health screening report?

Individuals and organizations that require entry screening for employees, visitors, or participants in events may be required to file a COVID-19 health screening report.

How to fill out covid-19 health screening report?

To fill out a COVID-19 health screening report, individuals typically need to provide personal information, report any symptoms related to COVID-19, disclose travel history, and indicate any known exposure to the virus.

What is the purpose of covid-19 health screening report?

The purpose of a COVID-19 health screening report is to identify individuals who may pose a risk of transmitting COVID-19 to others and to implement necessary safety measures.

What information must be reported on covid-19 health screening report?

Information that must be reported includes personal identification details, symptom status, exposure history, and travel history related to COVID-19.

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