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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


NOTE: This form has to be submitted on the day of the event. Any form submitted prior to the day of the event will be invalid.