Henein Hutchison LLP Guest Entry Declaration

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Note: Your health and safety and that of others is important to us. In accordance with our policy, we ask that you complete this entry declaration form prior to visiting our offices.

The information collected on this form will be used to determine if we can accommodate your request to access the premises. For more information, please see our privacy policy**.

1. Do any of the statements below apply to you or a member of your household:

(A) I or a member of my household is experiencing symptoms related to COVID-19 (cough, fever, trouble breathing, extreme fatigue, sudden loss of sense of smell).
(B) I or a member of my household has experienced a cold or flu-like symptoms within the last 14 days.
(C) I or a member of my household has had close contact with someone diagnosed with COVID-19 within the last 14 days.
(D) I or a member of my household has traveled outside the province or the country within the last 14 days.
(E) I or a member of my household has been in close contact with a person who has traveled outside the province or the country within the last 14 days.
(F) I or a member of my household is subject to a government or public health self-isolation directive.

Yes, one or more of these statements apply

No, none of these statements apply

**Privacy Policy

Do not send confidential information or details about your case by email. Do not forward any documents to us. We will not review such information nor can we provide advice until we have accepted you as a client.

Please note that any email correspondence to contact the firm is informational only. You will not be considered a client of the firm until we have agreed to act for you in accordance with our usual policies for accepting clients. The content of this website is provided for informational purposes only and should not be construed as legal advice. No action with regards to your particular matter should be taken until you have first sought full legal or professional advice from a lawyer fully retained to act on your behalf.

Copyright © 2022 Henein Hutchison LLP. All rights reserved.

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