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TRU Sick Call Form

Today's Date

First Name

Last Name

Department

Manager Name

I am calling out for

I am calling out for illness

Nature of Illness

I am calling out for personal or family emergency

* If you test positive for COVID, please notify Rachel Stackhouse at [email protected] (non-PACE) and Megan Merrick at [email protected] (PACE) for infection control tracking and guidance. The information will be kept confidential; however, they must be informed to ensure we are managing potentially positive cases according to local, State, and Federal requirements.