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
Select date...
Date of Service if Applicable
If you have multiple collections or packing dates please use the last date
Select date...
If delivery date is not known please leave blank
Select date...
If you do not have a specific collection or delivery date and we are completing an onsite internal or other service record the date here
Select date...
Select date...
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Arriving by
Arriving by
Declaration
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.
Have you recently been confirmed as a close contact with someone who has COVID-19? This is a required field.
Have you recently been confirmed as a close contact with someone who has COVID-19? This is a required field.
Are you currently in self quarantine based on positive a COVID-19 reesult This is a required field.
either PCR or RAT
Are you currently in self quarantine based on positive a COVID-19 reesult This is a required field.
Has anybody at the service address been classified as a close contact? This is a required field.
Has anybody at the service address been classified as a close contact? This is a required field.
Is anybody at the service address currently in self isolation? This is a required field.
Is anybody at the service address currently in self isolation? This is a required field.
Has anyone at the service address experienced flu-like symptoms (sore throat, fever, tiredness and cough) following overseas or interstate travel and/or physical contact with someone who has recently returned from overseas or arrived from Interstate? This is a required field.
Has anyone at the service address experienced flu-like symptoms (sore throat, fever, tiredness and cough) following overseas or interstate travel and/or physical contact with someone who has recently returned from overseas or arrived from Interstate? This is a required field.
Have you and everybody at the service address been double vaccinated This is a required field.
You may be required by staff to provide evidence on arrival of your vaccination status
Have you and everybody at the service address been double vaccinated This is a required field.
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