AURORA CHAMBER OF COMMERCE

RAPID ANTIGEN TEST REPORTING FORM

* Business/Organization Name
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* Screening Supervisor Name - First & Last Name (Main Contact and Administrator for the Testing & Reporting)
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* Total # of Rapid Tests Used (this reporting cycle)
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Of the total number of kits being reported today, identify the total number of inconclusive, positive and negative results below:

* Total Number of Inconclusive Results
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* Total # of Negative Results
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* Total # of Positive Results
0/50