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Contact
Join
Members Area
Who We Are
About COS
Our Members
Our Team
Staff
Board of Directors
Annual Reports
Services
Spill Response
Vessel Registration Process
Juan de Fuca Transits
Registration FAQs
Port Security
Port of Vancouver Port Pass
Marine Transportation Security Clearance Program
Events
Careers
Secretariat Services
The Voyage
Governance
Ship Design & Construction
Trade
Prevention + Protection
Safe Navigation
Climate Change
Anchorages
Ports + Terminals
Advocacy
Policy Positions
Campaigns
Submissions
Speeches + Presentations
Blog
News & Media
News
Newsletters
Press Releases + Statements
Publications
Provincial Health Screening Form
Your Name (required)
*
Your Email (required)
*
Your Port Pass Number or Appointment Confirmation ID# (required)
Are experiencing any of the following new or worsening symptoms? (check all that apply)
fever or chills
cough
sore throat
difficulty breathing
diarrhea
nausea and/or vomiting
extreme fatigue or tiredness
body aches
loss of appetite
headache
loss of sense of smell or taste
none
Have you traveled outside of Canada, including the United States, within the last 14 days?
Yes
No
Have you been identified as a close contact of a COVID-positive case by Public Health
Yes
No
Have you been told to self-isolate by Public Health?
Yes
No
Date Questionnaire Completed?
*