Admin On-Call Please use this form to record your Call Log information. Please complete and submit the form below. Your entry will be added to the call log spreadsheet on the next regular working day.Date of Call*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920AOC Initials* Type of Call* Specimen Rejection Clinical / Technical Fire / Safety / Security Human Resources Inappropriate / Unnecessary / Unknown Reason for Call* Urgent (off hours) In Hours Not Urgent Brief Description of Call*To avoid security issues, do not use special characters in form field below (eg. !, ', #, $, %, ^, &, *, (, ), ?, etc.).Action Taken / Required*To avoid security issues, do not use special characters in form field below (eg. !, ', #, $, %, ^, &, *, (, ), ?, etc.).Personal Health Information Act*When submitting this information, I affirm that I will not disclose any personal or confidential information in accordance with the Personal Health Information Act. Additionally, I acknowledge that I am not authorized to share this account with anyone. I agree I disagree