LA Archdiocese COVID-19 REPORT FORM Protocols in the Event of a Confirmed Case of COVID-19
If you receive news of a CONFIRMED COVID-19 case in your parish, school, or cemetery/mortuary community the pastor, president and/or principal, or manager must follow this protocol:

1. Fill out this report form.

2. A copy of this report will be automatically emailed back to you once it's completed. It will also be automatically emailed to Marina A. Macchiagodena and Isaac Cuevas, the COVID Response Team.

3. Forward the email copy of your report to your Regional Deacon and the following departments as appropriate:

a. For schools - copy your Assistant Regional Superintendent and Regional Superintendent

b. For cemetery/mortuary - copy Ingrid P. Bendezu ( IPBendezu@catholiccm.org ) in the Cemtetery Deparment

c . If it involves an employee - copy Rosa Ambriz ( RAmbriz@la-archdiocese.org ) in the Human Resource Department

A member of the COVID Response Team will reach out to you to set up a conference call to offer guidance, obtain details, and draft an appropriate notice/letter to the impacted community, if appropriate. In cooperation with community health protocols, information collected may be shared with appropriate county agencies as needed.

If you have an urgent matter, or have any additional questions, please email Marina A. Macchiagodena mamacchiagodena@la-archdiocese.org and Isaac Cuevas at icuevas@la-archdiocese.org .

Please begin by entering the email address of the PERSON SUBMITING THIS RECORD.
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