Effective Monday, January 31, 2022
Have you been informed or advised that you should self-isolate due to symptoms associated with COVID-19 or as a close contact of someone with COVID-19? YesNo
More than two (2) combined symptoms will result in the denial of entry into the building for in-person meetings.
Cough: YesNo
Fever: YesNo
Difficulty Breathing: YesNo
Muscle Aches/Fatigue: YesNo
Headache: YesNo
Sore Throat:YesNo
Runny Nose: YesNo
Chest Congestion: YesNo
Loss of taste or smell: YesNo
Please enter your name: Please enter your workplace: Please enter your email: Please enter your phone number:
Name of UFCW 832 staff you're meeting with: —Please choose an option—Blake CrothersBrenda BrownChris NotoCrystal KlippensteinCurt MartelErin SelbyGeoff BergenJohn AndersonJ.P. PetitJason AppasamyJason HawkinsJeff TraegerJoe CarreiroKim FerrisLoreto GutierrezMax PachesMarie BuchanMike HowdenMorag StewartPhil KraychukRoberta HoogervorstRon AllardSandy ForcierSharon GrehanOther
Todays Date:
Δ