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.

Details of Your Move

DD slash MM slash YYYY

Date of Service if Applicable

DD slash MM slash YYYY
If you have multiple collections or packing dates please use the last date
DD slash MM slash YYYY
If delivery date is not known please leave blank
DD slash MM slash YYYY
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
DD slash MM slash YYYY
DD slash MM slash YYYY
Arriving by

Declaration

Has anyone at the service address experienced flu-like symptoms (sore throat, fever, tiredness and cough)?(Required)
Consent and Accuracy(Required)

Ready to move? Give us a call, or get in touch

(08) 9455 2488

or

Request a quote