By completing and submitting this form you acknowledge that you have not experienced any of the following:
• Currently not experiencing, and have not experienced COVID-19 symptoms in the last 14 days. Symptoms include fever, tiredness, congestion, new or existing cough or difficulty breathing.
• Have not travelled outside of Canada or in an area under a travel health advisory in the last 14 days.
• Have not provided care or had close contact with any person with COVID-19 or with any person reasonably suspected of having COVID-19 or with any person who travelled outside of Canada in the last 14 days or with any person who travelled in an area under a travel health advisory in the last 14 days.
• Have not been advised by the Government of Canada or Ontario Health or doctor or the Ontario Ministry of Health website to self-isolate due to possible exposure to COVID-19.