Lodging properties that wish to serve as an essential service

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* 1. Name of lodging property

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* 2. Street address of property

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* 3. City

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* 4. Zip code

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* 5. Contact name

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* 6. Cell phone number

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* 7. Email address

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* 8. Is your property willing/able to accommodate traveling nurses/doctors/support staff?

Yes

No

Unsure but open to learning about potential opportunities

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* 9. Is your property willing/able to accommodate individuals with COVID-19 (or potentially exposed to COVID-19)?

Yes

No

Unsure but open to learning about potential opportunities

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* 10. Is food service available on site? If so what meals are available?

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* 11. Are you open to outside food delivery to those quarantined?

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* 12. Are you open to outside linen services being provided?

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* 13. Are you open to outside cleaning services to be provided?

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* 14. What amenities do you have in your guest rooms? Check all that apply.

Refrigerator

Microwave

Kitchenet

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* 15. Any comments