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MANDATORY ANNUAL WAIVER
Covid-19 Health Declaration
How are you feeling today?
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Last Name
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My body temperature is lower than 98.6°F/ 37.5°.
I am not experiencing any of these symptoms: fever, chills, cough, sore throat, shortness of breath, loss of taste, runny nose, pink eye, headache, nausea, headache, muscle aches or extreme tiredness
In the last 14 days I have not been in close contact with a Covid-19 patient, travelled outside canada, received an alert that I have been in close contact with a person with covid-19.
I am not living with anyone who is currently experiencing covid-19 symptoms or waiting for test results after experiencing symptoms, been told to self isolate.
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I declare that the info I’ve provided is accurate & complete
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