COVID-19 REQUEST FOR SERVICES
If this is an emergency, please call 570-383-4151 or 570-499-4909. We will be in touch within hours of submitting this form.
Email address *
Company Information (company name, address, contact name, phone no. and email address) *
Did you have any confirmed COVID-19 cases in your facility? *
Is this an office, dormitory, warehouse, conference center, auditorium, athletic facility, medical facility, or other? How many buildings? Explain?
Can you provide a PDF version of a simple floor plan or layout ? *
How many square feet is/are your space(s)?
Approximately how many rooms, cubicles, computer stations, and phones, or laboratories, medical equipment?
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