Covid Safe Declaration Form. | l-h-installations

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Covid-19 Health Declaration

How are you feeling today?

First Name

Last Name

Address and Telephone Number

Email

Nobody within my household is experiencing the following symptoms: fever, continuous headache, cough, sore throat, lack of taste or smell, vomiting and is or self isolating or known to have been in contact with somebody who has tested positive in the last 14 days.

I/We agree, if face to face contact is required the wearing of a face covering at all times whilst in comminucation with any tradespeople and agree to keep a minimum of 2 Metre Social Distancing at all times.

I/We agree to prior to the visit that all surfaces and areas that we may come into contact with in the main area of works (including stair rails/door handles internally and external are cleaned.

I/We will arrange for areas to be worked in to be well ventilated by opening a window and all doors are left open to minimise touching of handles

I/We agree that should any above symptoms develop in the interim or whilst L H Installations or associated trades are working in my proprerty, I/We will noitify L H Installations with immediate effect.

I/We agree to minimise traffic to any rooms being worked in, along with keeping traffic to a minimum through entrance ways, hallways, landings or the main route the tradespeople are to use whilst working in my property.

Tempoary social distancing signs will be placed external of the room/area to be worked in. I/We will agree to not go past these signs and respect this barrier at all times.

Available accepted payment at this time.

Bank Transfer/Bacs

Debit card

Credit Card

Apple Pay

Failure to comply with the items listed above, will regrettably mean that we will be forced to leave site until the issue is resolved, even if this means that your property is left disrupted or without services.

I/We understand and accept these terms & conditions and confirm that all members of the household are or will be made aware of the conditions required for the visit or works to be carried out.

I declare that the info I’ve provided is accurate & complete

Date

Your Signature

We do appreciate Our Customers and it is always nice to have a chat whilst visiting, however to help reduce transmission, we ask for conversation to be kept minimum and do not wish to come across as rude. We thank you for your support and understanding at this time.

Thanks for submitting!

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