FINY COVID-19 Commuting Worker Census
Please fill out this form for any island based worker

If you live and work on island, please also fill out the Comprehensive Census if you haven't already. Thank you!
Email address *
Last name *
First Name *
Phone number *
How often do you leave the island? *
Island Based Company *
Required
Submit
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This form was created inside of Fishers Island Health Project. Report Abuse