Spring 2022 RRE & Coach USA Contact Tracing Rider Log
This form is being used for contact tracing purposes only.  You are required to submit the form each time you ride the Ramapo Roadrunner Express (RRC) or Coach USA.
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Email *
What is your first name? *
What is your last name? *
What is Today's Date? *
MM
/
DD
/
YYYY
What Time Are You Boarding the Vehicle? *
Time
:
Where are you boarding the vehicle? *
Where will you exit the vehicle? *
Please choose the appropriate answer. I am a *
I can confirm the following apply to me: *
I do not have a Fever (above 100.4 F) or chills                          I DO NOT HAVE A COUGH                                                                               I do not have shortness of breath or difficulty breathing                                                                                        I DO NOT HAVE FATIGUE I do not have muscle or body aches                                                                                              I DO NOT HAVE A HEADACHE                                                         I do not have a new loss of taste or smell I do not have a sore throat                                                                                I DO NOT HAVE CONGESTION OR A RUNNY NOSE                              I do not have nausea or vomiting                                          I DO NOT HAVE DIARRHEA                                                               I have not been in close contact with anyone being diagnosed with COVID-19 or placed on quarantine.         I HAVE NOT BEEN ASKED TO SELF-ISOLATE OR QUARANTINE BY A MEDICAL PROFESSIONAL OR LOCAL PUBLIC HEALTH OFFICIAL
Required
A copy of your responses will be emailed to the address you provided.
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