Transcription of CONTACT TRACING RECORD ATTENDANCE AT PUBLIC …
1 This form must be completed by the person organising, providing or conducting the following activities: Gaming Machine venues, indoor sport (including sports training), fitness or recreation activities; indoor PUBLIC meetings; ceremonies; provision of personal care services; provision of PUBLIC entertainment; auctions and inspections of premises for the purpose of sale or rental of any property; or driver instruction. This form can be downloaded at V2 as at 1/06/2020 CONTACT TRACING RECORD ATTENDANCE AT PUBLIC ACTIVITIES *These records must be retained and if requested, be produced to an Authorised Officer as proof of compliance with Directions issued pursuant to the Emergency Management Act, 2004. They may only be used for the purpose of CONTACT TRACING in relation to COVID-19.
2 Date Time Name of Attendee Phone number Email address Location / Venue / Activity attended This form must be completed by the person organising, providing or conducting the following activities: Gaming Machine venues, indoor sport (including sports training), fitness or recreation activities; indoor PUBLIC meetings; ceremonies; provision of personal care services; provision of PUBLIC entertainment; auctions and inspections of premises for the purpose of sale or rental of any property; or driver instruction. This form can be downloaded at V2 as at 1/06/2020 CONTACT TRACING RECORD ATTENDANCE AT PUBLIC ACTIVITIES *These records must be retained and if requested, be produced to an Authorised Officer as proof of compliance with Directions issued pursuant to the Emergency Management Act, 2004.
3 They may only be used for the purpose of CONTACT TRACING in relation to COVID-19. Date Time Name of Attendee Phone number Email address Location / Venue / Activity attended This form must be completed by the person organising, providing or conducting the following activities: Gaming Machine venues, indoor sport (including sports training), fitness or recreation activities; indoor PUBLIC meetings; ceremonies; provision of personal care services; provision of PUBLIC entertainment; auctions and inspections of premises for the purpose of sale or rental of any property; or driver instruction. This form can be downloaded at V2 as at 1/06/2020 CONTACT TRACING RECORD ATTENDANCE AT PUBLIC ACTIVITIES *These records must be retained and if requested, be produced to an Authorised Officer as proof of compliance with Directions issued pursuant to the Emergency Management Act, 2004.
4 They may only be used for the purpose of CONTACT TRACING in relation to COVID-19. Date Time Name of Attendee Phone number Email address Location / Venue / Activity attended
