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* 1. There may be times that the health department needs to speak with someone urgently about a COVID-19 exposure at your workplace.

Please provide the name of the best After-Hours Contact Person for your business or organization, as well as that person's after-hours phone number and e-mail address.

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* 2. Location of Business/Organization
(if multiple, provide the main address within Barry or Eaton counties)

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* 3. What is the nature of your business/organization? (check all that apply)

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* 4. Approximately how many employees are currently working in-person? (Do not include employees who are working remotely)

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