Check-In

Meeting Date *

First Name *

Last Name *

Company

Phone Number *

Email Address *

Who you are here to visit? *

Purpose of the visit *

Please answer the following COVID-19 Health Screening questions:

1. Have you received your second dose of a Health Canada approved vaccine more than 14 days ago? ** VAA may request proof of vaccination at any time. There will be severe consequences for any misrepresentation.
Yes No

2. Are you attending a VAA site to deliver essential goods or services critical to airport operations? *
Yes No

3. In the last 10 days, have you returned from travel outside of Canada, including the United States, and been directed to quarantine? *
Yes No

4. Have you been identified by Public Health as a close contact of someone with COVID-19 or have you been in contact with someone you know that has tested positive with COVID-19? *
Yes No

5. Have you been told to isolate by Public Health? *
Yes No

6. Are you displaying any one or more of the following new or worsening symptoms: *

• Fever or chills
• Cough
• Loss of sense of smell or taste
• Difficulty breathing
• Sore throat
• Loss of appetite
• Runny nose
• Sneezing
• Extreme fatigue or tiredness
• Headache
• Body aches
• Nausea or vomiting
• Diarrhea

Yes No

If you are displaying symptoms consistent with COVID-19, refer to HealthLink BC at 811.