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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.
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Email
*
Your email
Company Information (company name, address, contact name, phone no. and email address)
*
Your answer
Did you have any confirmed COVID-19 cases in your facility?
*
Yes
No
Maybe
Is this an office, dormitory, warehouse, conference center, auditorium, athletic facility, medical facility, or other? How many buildings? Explain?
Your answer
Can you provide a PDF version of a simple floor plan or layout ?
*
Yes
No
How many square feet is/are your space(s)?
Your answer
Approximately how many rooms, cubicles, computer stations, and phones, or laboratories, medical equipment?
Your answer
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