Covid 19 Fields marked with an * are required First Name* Last Name* Your Email or Phone Number* Company Name* Unit#* Date* In the last 10 days have you experienced any of the following symptoms? Fever*Cough*Shortness of breath or difficulty breathing*Runny nose*Sore throat*ChillsPainful SwallowingNasal congestionFeeling unwell / fatiguedNausea / vomiting / diarrheaUnexplained loss of appetiteLoss of sense of smell or tasteMuscle / joint achesHeadacheConjunctivitis (Pink Eye) *If you answered yes to any of the first 5 symptoms, you are legally required to isolate for at least 10 days from the start of your symptoms or until they are gone, whichever is longer. If you have any of the additional symptoms, you should stay home and limit contact with others until your symptoms are gone. In the last 14 days have you? Travelled outside of Canada?Been in contact with a person who recently travelled outside of the Canada to a country where there’s an outbreak of COVID-19Been in contact with a person who became ill after returning from any international travel?Been in contact with a person who was diagnosed with COVID-19?Had close contact with an individual who has any one of the first 5 symptoms on this list, AND who is a close contact of a confirmed case of COVID-19 in the last 14 days?Visited a health care facility where there have been positive cases of COVID-19? If you answered YES to any of the questions above: You must remain home and visit your health care provider. Following your assessment, you will need to obtain a fitness certificate from your health care provider. The certificate should clearly indicate, in English language, that you are free from any respiratory infectious disease and affirming your fitness to travel for business/work purposes BEFORE you travel to any job sites.