[Your Name] [Your Address] [City, State, Zip Code] [Email Address] [Phone Number] [Date] [Recipient's Name] [Recipient's Position] [Company/Organization Name] [Company/Organization Address] [City, State, Zip Code] Subject: Request for List of Employees to be Tested for [Specify the type of testing] Dear [Recipient's Name], I hope this letter finds you in good health and high spirits. I am writing to request a comprehensive list of employees within [Company/Organization Name] who require [specific type of testing], specifically in the Oakland, Michigan region. As we are committed to ensuring the well-being and safety of our workforce, it has become imperative to conduct regular [specific type of testing] among our employees. This preventive measure aims to identify any potential health risks, promote a healthier work environment, and safeguard the welfare of our staff and clients. Please provide us with the following information for each employee: 1. Full Name: [First Name, Middle Initial (if applicable), Last Name] 2. Job Title/Position 3. Department/Division 4. Location/Address: [If applicable, provide the specific Oakland, Michigan address] 5. Contact Details: [Phone number and email address] 6. Date of Last [Specify the type of previous testing, if any] To comply with privacy regulations, we assure you that the provided information will be treated with utmost confidentiality and used solely for the purpose of conducting the required testing. We understand the sensitivity of personal data and will handle it in accordance with all applicable laws and regulations. Moreover, we kindly request that the list is shared with us within [specify time frame or deadline] to allow us to properly plan and schedule the testing sessions. If there are any additional forms, guidelines, or protocols that need to be followed, please include them as well. Should you have any queries, suggestions, or require further information, please do not hesitate to contact me at [Your Email Address] or [Your Phone Number]. Your cooperation in this matter is greatly appreciated. Thank you for your prompt attention to our request. We value the safety and well-being of our employees, and believe that this proactive approach will contribute to a healthier workplace environment. Yours sincerely, [Your Name] [Your Position/Title] [Company/Organization Name]
Para su conveniencia, debajo del texto en español le brindamos la versión completa de este formulario en inglés. For your convenience, the complete English version of this form is attached below the Spanish version.