COVID-19 Screening

Your Details

Name

First

Last

Email address*

Phone Number*

Property / Purpose Details

Property Address Visited*

Unit number Visited

Purpose of the Visit*

Date of Visit*

General Questions

Are you fully vaccinated? *

Yes

Proof of Vaccination

Upload your proof of vaccination. Anyone not fully vaccinated will need to produce a negative Covid-19 test taken within 48 hours prior to attending an occupied interior space at a London Property Management Association property.

Not vaccinated? Upload your negative test result.

Anyone not fully vaccinated will need to produce a negative Covid-19 test taken within 48 hours prior to attending an occupied interior space at a London Property Management Association property.

In the last 14 days have you...*

Travelled outside of Canada?

Tested positive for Covid-19?

Had a health care provider tell you to isolate?

Received an exposure notification on your cell phone?

Been identified as a close contact of someone who currently has Covid-19?

NO TO ALL

DO NOT enter the building if you answered YES to any of the above (other than your vaccine status)*

My answers to the above are truthful/accurate.

I will advise the occupants of the unit visited if I develop any of the above symptoms in the next 14 days or if I am diagnosed with COVID-19.

By pressing submit you agree to have the above information sent to London Property Management Association*

The information collected as part of this Screening Process is collected for COVID tracing purpose only. It will be retained by London Property Management Association. for a period of at least one month. If requested to do so under the Health Protection and Promotion Act or under any other applicable legislation, London Property Management Association may disclosed this information to a medical officer of health or any other authorized agent or inspector. London Property Management Association may also use this information for tracing purposes or to communicate a known case of infection to other users or owners/occupants. London Property Management Association must also advise your local Public Health if two or more people test positive for COVID-19 in connection with this premises within a 14 day interval. London Property Management Association will continue to closely monitor Covid-19 risks and evolving public health information to ensure it continues to protect the health and safety of employees in the workplace and public with whom they interact. London Property Management Association will continue to assess other available workplace risk mitigation measures and may implement new measures as required.

This field should be left blank

Your Details

Property / Purpose Details

General Questions

Health Related Questions