Covid-19 Sign-In New Zealand Construction Sites
Date and time of sign-in
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Minutes
Name
*
First Name
Last Name
Company Name
People you travelled with
Phone number
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Area Code
Phone Number
Are you feeling unwell?
Yes
No
Have you had any Covid-19 symptoms: Fever over 38 degrees, dry cough, shortness of breath?
Yes
No
Have you been in contact with someone with COVID-19 symptoms
Yes
No
Have you arrived in New Zealand in the past 14 Days?
Yes
No
Signature
*
Leave Form Here Until You Sign Out
Sign Out
Complete Before Leaving
Where are you going from here?
*
Time
*
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Hour
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AM
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AM/PM Option
Signature
*
Submit
Should be Empty: