COVID-19 Checklist

COVID-19 ALBERTA HEALTH DAILY CHECKLIST

Please note that the information on this form is SOLELY to assist in contact tracing efforts. ICSC would retain this record for 28 days (in coherence with Alberta's tracer app). More information on collected information can be found here
https://www.oipc.ab.ca/resources/pandemic-faq-customer-lists.aspx


Please fill in this form just before entering the building on your phones. There will still be paper forms available at MTC for manual fill in