Online Forms

2. 
3. Town of Hinton COVID Screening and Building Access Sheet
5. Please provide answers to all the below to confirm your departure from the Infrastructure Services . This additional information requirement is part of the Health and Safety Departments work to enable public access to our facility, while also allowing contact tracing and proper protocols to protect our employees and public.
   
   A false submission to this document leading to any exposure or risk will be prosecuted to the fullest extent of the law.
7. First Name*
8. Last Name*
10. Have you left the building?*

    1. Yes

    1. No
12. Please Complete Once You Have Departed the Building

    1. Ok

    1. Ok
Leave This Blank:


15. 1. Receive an email copy of this form.
16. Email address

    This field is not part of the form submission.

17. Submit

* indicates a required field