Contractor COVID-19 Declaration Form

 

  1. Tamworth Regional Council takes the health, safety and wellbeing of our staff and contractors seriously.  In order to ensure those working on our sites remain safe, we require all contractors to complete this declaration form before contractors work on Council sites.
  2. For entry to TRC sites ALL contractors must adhere to the Government directed COVID-19 requirements to protect both the contractor and Council's staff.
  3. A contractor required to come to any site must contact the site supervisor or person they are meeting with to provide details of time of arrival, site to be accessed and work to be completed.  All contractors must be inducted to the site and advised of Council's COVIDSafe procedures and requirements.
Please note that this declaration automatically expires after 14 days therefore contractors must complete fortnightly declarations if and when required to attend a Council site.
Your Details

Prior to Tamworth Regional Council granting you entry to the site, we require you to declare that:

(Please tick all boxes that are applicable to you).

For a full list of symptoms as outlined by NSW Health, please visit https://www.nsw.gov.au/covid-19/symptoms-and-testing
Privacy Statement

Personal information supplied to or collected by Tamworth Regional Council will only be stored and processed by Council for lawful purposes directly related to the functions and activities of Council.  Any personal information supplied will only be disclosed to a third party for the purpose of performing a lawful function or activity and for no other purpose. Disclosure of personal information to a third party will be in accordance with Tamworth Regional Council's Privacy Management Plan (PDF 331.7KB).

Mandatory field(s) marked with *