This form will be sent to the SMSA Attendance Tracking Team. A member from this team will follow up with you once they have received and reviewed the information sent. Your privacy is of utmost importance to us. Any information gathered on this form will be confidential.
Please notify Carrie Wiza if you have any symptoms of COVID-19 or are being tested. You may also notify your supervisor, but you MUST notify Carrie.
Please contact Carrie or Heather if you have any questions or concerns regarding quarantine.
Carrie Wiza 920-602-2589, email@example.com
Heather Reilley 920-322-8045, firstname.lastname@example.org