COVID-19 Benefits

We need to gather some information to help understand your need.

Your current infection status

I am infected

I am not infected

I affirm my statement above is true and that I waive all HIPAA protections and authorize you to notify my employer.

With `role="presentation"`

Your current infection status

I am infected

I am not infected

I affirm my statement above is true and that I waive all HIPAA protections and authorize you to notify my employer.

Ref: Chrome 80/81 Bug: Accessible Name Calculation