Date

________
_________
_________

Dear _____:

In light of our continued support towards the safety and well-being of our constituents during

this pandemic, we are hereby endorsing ____________ , ____ years of age and a resident of

____________ for COVID-19 PCR Testing at your facility.

Mr./Ms. _____ is requesting to be tested for the purpose of _________ . We are truly grateful for

your assistance and accommodation.

Truly yours,