HICS 252 Section Personnel Time Sheet COVID-19 Question Title * 1. Employee First Name Question Title * 2. Employee Last Name Question Title * 3. Employee ID Number Question Title * 4. Hourly or Exempt Hourly Exempt Question Title * 5. Business Unit Aspirus Health Plan Aspirus, Inc. Aspirus Medical Group Aspirus Divine Savior Hospital Aspirus Iron River Hospital Aspirus Ironwood Hospital Aspirus Keweenaw Hospital Aspirus Langlade Hospital Aspirus Medford Hospital Aspirus Network, Inc. Aspirus Ontonagon Hospital Aspirus Riverview Hospital Aspirus Post Acute Care Aspirus Wausau Hospital Aspirus Stevens Point Hospital Aspirus Rhinelander Hospital Howard Young Medical Center Aspirus Stanley Hospital Aspirus Merrill Hospital Aspirus Tomahawk Hospital Aspirus Eagle River Hospital Question Title * 6. Department Name Question Title * 7. COVID-19 Activity (e.g., EOC, report, policy, direct patient care, billing, etc.) Question Title * 8. Date (MM/DD/YYYY) Date Question Title * 9. Start Time HH:MM Time AM/PM - AM PM Question Title * 10. End Time HH:MM Time AM/PM - AM PM Question Title * 11. Total Hours Question Title * 12. Signature Done