Question Title * 1. First Name Question Title * 2. Last Name Question Title * 3. Email Question Title * 4. Location Central Support Arosa Boston Arosa Central Coast Arosa Chicagoland Arosa Crystal Coast Arosa East Bay Arosa Houston Arosa Inland Empire Arosa Los Angeles Arosa Middle TN Arosa NC Triangle Arosa North Jersey Arosa Orange County Arosa Orlando Arosa Piedmont Triad Arosa San Diego Arosa San Francisco Arosa Silicon Valley Arosa South Jersey Question Title * 5. Payroll IDYour 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 Question Title * 6. Test Date Date test was administered Date Question Title * 7. Upload a photo or scanned copy of your COVID-19 Test Result Done