Covid 19 Assessment

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First and last name *

Year of birth *

Branch *

Départment *

1. Have you traveled outside the country in the last 14 days? *

2. Have you been in direct contact with someone who has been diagnosed with COVID-19? *

3. Are you awaiting results for a COVID-19 test or have you been asked by public health to quarantine? *

(You or someone under the same roof as you)

4. Are you currently experiencing or have you experienced any symptoms related to COVID-19?

One of these symptoms: fever, cough (recent or chronic aggravated), difficulty breathing, sudden loss of sense of smell without nasal congestion with or without loss of taste, sore throat, runny nose or nasal congestion of unknown cause. *

Two of these symptoms: a general symptom (muscle pain, headache, intense fatigue, significant loss of appetite), stomach ache, diarrhoea, nausea or vomiting. *

If you answered yes to any of the points in question 4, did you contact Info-Santé at 1 877 644-4545? *

If so, what were their recommendations?

** If not, you will need to contact them first and follow their recommendation afterwards. We also ask that you please provide us with this information. **

I am aware that a concealment of the facts may lead to disciplinary measures. *

I am aware

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Moreau is more than 1000 highly qualified and reliable employees. It's more than 45 years of business. That's over 1.5 million hours a year.

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160, boulevard Industriel
Rouyn-Noranda (Québec)
J9X 6T3
moreau@moreau.ca
1 800 884-0088

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Covid 19 Assessment

Covid 19 Assessment

WE HIRE

Make a
career
with us