Coronavirus Declaration HiddenCollier Stevens Job No As part of our risk assessment process during the COVID 19 restrictions, we are asking those whose houses and buildings we are asked to inspect to make certain confirmations. Our surveyors have been asked to decline handshakes and maintain a distance of at least 2m from others at all times. Please complete the following:Name* Address of property we are asked to inspect* Email* Mobile No.*Our staff are self-monitoring daily for any signs or symptoms of corona virus and will isolate immediately if they have any concerns. In this case, we will call you to rearrange the survey with an alternative surveyor whenever possible or to book a different date.We are happy for our property to be surveyed / inspected* Yes No Thank you. Our surveyors will try very hard to keep everyone safe. If the property is occupied during the survey they will wear face coverings and gloves. If you would like any other special provision to be made please lets us know.Please call us on 020 8295 1200 to discuss if there is a way we can undertake this work safely.We will vacate the property during your inspection* Yes No Government guidelines recommend that we inspect a vacant property or where occupants have temporarily vacated for the duration of the survey. OUR SURVEYORS NEED YOU TO VACATE DURING THEIR VISIT FOR YOUR SAFETY AND THEIRSPlease call us on 020 8295 1200 to discuss if there is a way we can undertake this work safely.We are able to leave doors and windows open and lights on* Yes No We try to minimise "touch points" so we ask that lights are left on and doors and windows left open.Do any occupants have coronavirus symptoms* Yes No Please call us on 020 8295 1200. We are not able to survey safely when any occupants have symptoms of corona virusHave any occupants had a coronavirus test for which the results will be outstanding at the time of survey?* Yes No If any occupant has a test immediately before our survey and the result is unknown you MUST tell us and we will re-arrange the survey.Please call us on 020 8295 1200. We are not able to survey safely when any occupants are awaiting test resultsAre any occupants self-isolating, quarantined or shielding?* Yes No Please call us on 020 8295 1200. We are not able to survey safely when occupants are self-isolating, quarantined or shieldingAre any occupants in a high risk group* Yes No High-Risk Groups are defined here - NHS - High Risk GroupsWe will need to talk with you as we may not be able to survey when there are occupants in a high-risk group. Where possible we do try and work something out though.Please contact us if you have any queries or wish to discuss how we will undertake the survey or inspection - 020 8295 1200By pressing submit you are confirming that the answers you have given are accurate. Confirmation Reference