About Us

COVID19 Customer Declaration Form

All Australians are dealing with unprecedented circumstances and we all have a responsibility to minimize the risks associated with the current COVID-19 public health emergency.  Under Work Health and Safety Laws your premises are considered as a workplace and we have a responsibility to ensure our staff have a safe work environment. We also have a social responsibility to consider our customers’ wellbeing. Due to this, we have adopted internal policies and procedures to reduce risk to our customers and employees.

To assist, we ask that you submit the following information by completing the form below.  We prefer electronic lodgment to reduce un-necessary contact.

Please see the Privacy Collection Notice at the base of the form which explains how we will manage the collection of this information. Please do not provide us with any specifics/names of residents or other identifying information that would link the answers below to a specific individual. 

We thank you for your assistance in this matter.

COVID19 Customer Declaration
    Details of Your Move
    Date of Service if Applicable
    Declaration
    1. Is anyone who lives at the service address currently under any form of self-isolation as the result of an order of any government authority or as the result of a recommendation of a health professional? This is a required field.
      Is anyone who lives at the service address currently under any form of self-isolation as the result of an order of any government authority or as the result of a recommendation of a health professional? This is a required field.
    2. In the last 14 days, have you or anyone at the service address been in physical contact with anyone who has been diagnosed with the COVID-19 virus? This is a required field.
      In the last 14 days, have you or anyone at the service address been in physical contact with anyone who has been diagnosed with the COVID-19 virus? This is a required field.
    3. In the last 14 days, have you or anyone at the service address has been in physical contact with anyone who is in self-isolation due to the COVID-19 virus? This is a required field.
      In the last 14 days, have you or anyone at the service address has been in physical contact with anyone who is in self-isolation due to the COVID-19 virus? This is a required field.
    4. In the last 14 days, have you or anyone at the service address has been in physical contact with anyone who has recently visited any overseas country? This is a required field.
      In the last 14 days, have you or anyone at the service address has been in physical contact with anyone who has recently visited any overseas country? This is a required field.
    5. In the last 14 days, have you or anyone at the service address has been in physical contact with anyone who has recently visited or returned from Interstate? This is a required field.
      In the last 14 days, have you or anyone at the service address has been in physical contact with anyone who has recently visited or returned from Interstate? This is a required field.
    6. In the last 14 days, has anyone at the service address experienced flu-like symptoms (sore throat, fever, tiredness, and cough) following overseas travel and/or physical contact with someone who has recently returned from overseas? This is a required field.
      In the last 14 days, has anyone at the service address experienced flu-like symptoms (sore throat, fever, tiredness, and cough) following overseas travel and/or physical contact with someone who has recently returned from overseas? This is a required field.

We Are Open for Business

With the corona virus (COVID-19) affecting communities, families, and people around the world, this is a difficult time for all of us. Our hearts go out to all those who have been affected, directly or indirectly. At Chess Moving Australia, our priority remains the health and well-being of our employees, customers, and partners.

More About Our Approach FAQs: Moving During COVID-19 Customer Declaration