Get Form 3c Bt Agent Case Transportation Worksheet

Filling out the Form 3C BT Agent Case Transportation Worksheet accurately is essential for documenting potential bioterrorism exposures. This guide provides a clear, step-by-step approach to complete the form online, ensuring all necessary information is captured effectively.

Follow the steps to fill out the Form 3C BT Agent Case Transportation Worksheet online.

1. Press the ‘Get Form’ button to access the Form 3C BT Agent Case Transportation Worksheet and open it in the editor.
2. Begin by entering the state FF in the designated field at the top of the form.
3. Next, complete the case number section by entering the case number clearly in the provided space.
4. In the case name field, provide the last name, first name, middle name, suffix, and any nickname or alias for the individual associated with the case.
5. Record the name of the interviewer by filling in their last name, first name, and middle name.
6. Enter the date of the interview in the MM/DD/YYYY format, ensuring accuracy.
7. Document the date of symptom onset using the designated format (MM/DD/YYYY).
8. For each type of public or shared transportation used during the exposure period, fill in the date of travel before symptom onset, repeating this for each travel entry required.
9. Indicate the time of travel for each entry in the format (HH:MM AM/PM), circling AM or PM as appropriate.
10. Specify the type of transport used (e.g., bus, train, plane, car) in the transport type field.
11. Provide the carrier or company name associated with the transportation.
12. Enter the route or flight number for each transportation method used.
13. Fill in the origin city, state, and country from which the individual traveled.
14. Finally, complete the destination city, state, and country fields for the individual’s travel.
15. After completing the form, you can save your changes, download it for your records, or share it as needed.

Start completing your Form 3C BT Agent Case Transportation Worksheet online today.