• Coronavirus Self Declaration Form

    For the health and safety of our community, declaration of illness is required. Be sure that the information you'll give is accurate and complete. Please get immediate medical attention if you have any of the COVID-19 signs.
  •  
  •  
  • I acknowledge that the information I've given is accurate and complete.

  •  -  -
    Pick a Date
  • Clear
  • For everyone's  safety: As per Manitoba Government - stay home if you have any symptoms. Thank you for your cooperation.

  • Should be Empty: