please read the following statements carefully:
I Have not been in close contact with someone who has tested positive for COVID-19 in the past 14 days.
I Have not returned from travel outside of Canada in the past 14 days.
I am not experiencing any of the following symptoms: fever, cough, shortness of breath, sore throat, runny nose, feeling unwell.
the members of my group are a part of the 1 / 3 of the following criteria: i) everyone is a part of the same household; or ii) there is a single member of another household, who lives alone; or 3) i or ii, plus the addition of 1 or 2 caregivers.
By submitting this form, you agree to the above statements.