NWFD CoVID-19 Exposure Form
This form is to document any possible exposure as a result of CoVID-19.
Date of Exposure: *
MM
/
DD
/
YYYY
Incident Number (ex. F20000000 ): *
Your answer
Unit Responded In: *
Last Name: *
Your answer
First Name: *
Your answer
Type of Contact: *
Type of Treatment: *
Proper PPE Donned: *
Comments:
Your answer
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