COVID-19 Application for Private Inspections

By signing this form, I declare that the following statements are true and correct as at the date of this form: 1. For the last 14 days prior to the Date of Inspection, I have not had any COVID-19 symptoms, including (without limitation) fever, a cough, sore/scratchy throat, shortness of breath, loss of smell or loss of taste. 2. I am not required to quarantine or self-isolate for any reason, including (without limitation): a) testing positive to COVID-19 or being suspected of COVID-19; b) being in close contact or casual contact, in the 14 days prior to the Date of Inspection, with a person who is a confirmed case of COVID-19; c) having been to a place of high concern (close or casual contact venues) at the time and date listed in the COVID-19 concerns notice published by the NSW Government; d) being a household member of a close or casual contact, and the close of casual contact is yet to receive their initial negative test result e) not yet receiving a negative test result after being identified as a close or casual contact, in 14 days prior to the Date of Inspection, with a person who is a confirmed case of COVID-19; f) not yet receiving a negative test result after visiting a known COVID-19 hotspot or area of concern in the 14 days prior to the Date of Inspection; and g) otherwise, not yet receiving a negative test result after being tested for COVID-19 3. I will wear a fitted face covering over both my nose and face at all times during the private inspection of the property. 4. I am in compliance with all current NSW Government public health orders (including, without limitation, the Public Health (COVID-19 Additional Restrictions for Delta Outbreak) Order (No 2) 2020 [NSW].