Name* Phone*Email Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Are you self reporting or a member of the community? Self Reporting Community Member Community ReportingPlease provide details of your concern.Self-ReportingAre you under self quarantine? Yes No Have you seen your medical provider? Yes No Have you been tested for COVID-19? Yes No Health GuildelinesAs always, if anyone displays symptoms of COVID-19, including a fever, cough or shortness of breath, they should not go to work or school and are advised to contact their primary care physician. The Town is also advising residents to practice social distancing by keeping six feet between people to prevent the spread of infection, which includes handshaking and hugging. Residents are also encouraged to avoid group activities and events. Other guidelines include: Wash your hands often with soap and water for at least 20 seconds, including under your fingernails. Alcohol-based hand sanitizer (at least 60% alcohol content) can be used when soap and water are not available. Keep your hands away from your face. Cover your nose and mouth when sneezing and coughing with a tissue and discard it immediately. Cough into the sleeve over your elbow instead of your hand. Wash your hands often when coughing and sneezing. Stay away from people who are sick and stay home when you are sick. Δ Share this:FacebookX
