COVID-Ready Stickers and Posters

ABN*

Contact Name*

First Last

Email*

Business Name*

Business Address*

Street Address Address Line 2 City Postcode

Postal Address*

Same as business address
Different from business address

Postal Address*

Street Address Address Line 2 City Postcode

Business Category*

Do you understanding your obligations to maintain a safe COVID-19 workplace*

Yes
No

Have you developed a COVID-19 Safety Plan*

Yes
No

Has the COVID-19 Safety Plan been implemented in your workplace*

Yes
No

Do you want to receive a COVID-19 Ready Window Sticker*

Yes
No

How many COVID-19 Ready Window Stickers do you need for your workplace*

Do you want to receive a COVID-19 Ready Non-window Sticker*

Yes
No

How many COVID-19 Ready Non-window Stickers do you need for your workplace*

Terms and Conditions*

I acknowledge that the supply by Government of a COVID-Ready Sticker is in no way a Government accreditation or endorsement of the COVID Safety Plan or other system of work implemented in the workplace to manage risks associated with the COVID-19 disease. I also acknowledge that the supply of a COVID-Ready Sticker in no way alters my existing duties and legal obligations under the Work Health and Safety Act 2012 and that I must abide by any restrictions imposed by Directions made under the Public Health Act 1997.

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