COVID-19 Emergency Temporary Standard for Healthcare Training Video Please enable JavaScript in your browser to complete this form.Name *FirstLastPlease enter your name as it appears on your paystub. Do not use nicknames.Please select the main office you work out of *AkronAkronAltoonaAthensBataviaBellefontaineBloomingtonBridgeport, OHBridgeport, WVCambridgeCantonCarrolltonCincinnatiColumbus, OHColumbus, INCoshoctonDaytonDefianceDelawareEdgewoodErieFindlayIndianapolisJeffersonvilleJohnstownKentLancasterLawrenceburgLimaLoganMadisonMariettaMarionMarysvilleMcConnelsvilleMeadvilleMorgantownMoundsvilleMount VernonNew LexingtonNew PhiladelphiaNewarkPaoliPittsburghScottsburgSomersetState CollegeToledoUniontownWest ChesterWoodsfieldZanesvilleRegional Management CenterLast 4 Digits of Your SSN # *Verification of Training Completion *I acknowledge that I have watched and completed the OSHA COVID-19 ETS Training. I understand the information presented, my responsibilities as an employee, and who to contact if I have questions about this material. I certify that I agree to comply with Interim HealthCare’s Exposure Control Plan.Submit