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Covid-19 Precautionary measure form
Thank you for your business despite the current virus outbreak. Please be rest assured that our company do not have anyone who has been to China past 4 months nor in contact with anyone who has been to China past 4 months, nor are we under Quarantine Orders (QO), Leave of Absence (LOA) or Stay-home Notice (SHN).
We have further taken precautionary measures to ensure safety and awareness on our end to have our technicians wearing face masks, having their temperature taken in the morning, using the Trace Together App and also sanitize their hands after each customer visitation.
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Email
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Your email
Full Name
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Your answer
Mobile number
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Your answer
Full address of Air-cons needing repair:
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Your answer
Have you or any household / staff members been to China or affected Countries (Eg. USA, Spain, Italy, France, Germany, UK, India, Japan, Indonesia, Philippines etc) past 4 months?
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Yes
No
If yes, which country and when was it?
Your answer
Have you or any household / staff members knowingly been in contact with anyone from China or affected countries (Eg. USA, Spain, Italy, France, Germany, UK, India, Japan, Indonesia, Philippines etc) for the past 2 weeks?
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Yes
No
If yes, which country and when was it?
Your answer
Do you have any household or staff members under Quarantine Orders, Leave of Absence or Stay Home Notice?
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Yes
No
If yes, please state the reason.
Your answer
Do you have the "Trace Together" App to help contact tracing?
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Yes
No
If your answer to the above question is no, please download the "Trace Together" App to help contact tracing together better with the link below.
https://www.tracetogether.gov.sg/?utm_source=Amobee&utm_medium=Search&utm_campaign=TraceTogether
The information you provide is important in managing the risk of COVID-19 transmission. The Infectious Diseases Act requires a person who has reason to suspect that he is a case or carrier of COVID-19, or has had contact with a person with COVID-19, to act in a responsible manner to not expose other persons to the risk of infection by the disease.
I solemnly declare that the above information stated is true.
Send me a copy of my responses.
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