COVID-19 Squad Member Testing Report Form

This form should be used by Squad Members to upload their most current COVID-19 Test Results which must be submitted every two weeks.
  • On what date were you tested?
    Date Format: MM slash DD slash YYYY
  • You are required by NYS to be tested for COVID-19 every two (2) weeks. If we do not have a Test Result Report on file for the current 2 week period, we cannot allow you to provide services.
    Drop files here or
    Accepted file types: pdf, jpg, png, jpeg.
  • This field is for validation purposes and should be left unchanged.