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* 1. First Name

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* 2. Last Name

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* 3. Email

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* 5. Payroll ID

Your Payroll ID can be found in the ADP app or please contact your local office who can provide you with your ID. The ID starts with 3 letters, followed by 6 numbers, for example: SAL000001

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* 6. Test Date

Date

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* 7. Upload a photo or scanned copy of your COVID-19 Test Result

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