COVID 19 Response Team Activity Log

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Email* This field is required.
example@example.com
Confirm Email
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First Name* This field is required.
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Last Name* This field is required.
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Mission Date* This field is required.This is the date of the mission
Date
Month
Day
Year
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Are you submitting a COVID 19 - Field/Mission Report or vSOC Report* This field is required.Only Choose vSOC if you are logging hours related to Command & Control, all mission related work in the field should choose Field / Mission Report
Field / Mission Report
vSOC Report - Command Staff Only
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Total Hours Worked in vSOC or Incident CommandThis response is NOT for Field Response only ICS Team Members
Maximum reportable hours = 24
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Mission Name
Bibb County / Navicent
Valdosta #1
Valdosta #2
Piedmont #1
SOC
Pellham #1
Cumming / Dawsonville COVID Testing
Athens / Clarke County COVID Testing
Thomasville
Cumming Decon Support
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Who is your Team Leader?
Tom Halton
Kay Kirkpatrick
Frances Purcell
Jim Barber
Manoj Shah
Lisa Sward
Mike Green
Ian McCullough
Luz Heaton
Carlos Parrado
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Time you are leaving home headed to mission
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Time you arrived at your mission to start volunteering
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Time you departed mission volunteer assignment for home
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Time you arrived home from missionThis time may also reflect when you reach a secondary location such that you are not doing directly home from mission.
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Total Miles driven round-trip
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Would you like to submit millage and food receipts for reimbursement consideration?
YESNO
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Breakfast Expenditure ?Must submit Receipt on next screen. No receipt, no reimbursement.
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Upload Breakfast Receipt
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
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Lunch Expenditure?Must submit Receipt on next screen. No receipt, no reimbursement.
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Upload Lunch Receipt
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
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Dinner Expenditure?Must submit Receipt on next screen. No receipt, no reimbursement.
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Upload Dinner Receipt
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
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What went well today , What is something positive you can say about today's experience?Please provide as many details as possible.
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Ok
Ok
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Did you have any problems or issues to report?Please provide as many details as possible.
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Ok
Ok
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Is there any one thing we can do to make this experience better for you?
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Ok
Ok
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