Covid Health Declaration Form | stewandy-cleaners

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Call us: 1-647-992-1756

jackie@careforcleaning.ca

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Covid-19 Health Declaration

How are you feeling today?

First Name

Last Name

Email

My body temperature is lower than 98.6°F/ 37.5°C

I am not experiencing the symptoms: fever, cough, sore throat

I haven’t been in close contact with a Covid-19 patient in the last 14 days

Initials

Date

I declare that the info I’ve provided is accurate & complete

Thanks for submitting!

Stewandy Cleaning Services has been keeping cities all around the GTA clean and sanitary for more than 11 years, with dependable and experienced staff ready to deliver quality cleaning services.

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Contact Information

Call us: 1-647-992-1756

jackie@careforcleaning.ca

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more information.

133A Main Street South

Brampton ON L6Y 1N2 ON CA

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