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ESSENTIAL TRAVELLER - RECORD OF CLOSE CONTACT Name of Close Contact Phone Number Date / Time Location of Close Contact This form can be downloaded at www.sa.gov.au V1 as at 9/05/2020

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Page 1:  · Web viewe Emergency Management Act, 2004. This form can be downloaded at V1 as at 9/05/2020 Name of Close Contact Phone Number Date / Time Location of Close Contact Name of Close

ESSENTIAL TRAVELLER - RECORD OF CLOSE CONTACT*These records must be retained and if requested, be produced to an Authorised Officer

as proof of compliance with Directions issued pursuant to the Emergency Management Act, 2004.

Name of Close Contact Phone Number Date / Time Location of Close Contact

This form can be downloaded at www.sa.gov.au V1 as at 9/05/2020

http://www.sa.gov.au/
Page 2:  · Web viewe Emergency Management Act, 2004. This form can be downloaded at V1 as at 9/05/2020 Name of Close Contact Phone Number Date / Time Location of Close Contact Name of Close

ESSENTIAL TRAVELLER - RECORD OF CLOSE CONTACT*These records must be retained and if requested, be produced to an Authorised Officer

as proof of compliance with Directions issued pursuant to the Emergency Management Act, 2004.

Name of Close Contact Phone Number Date / Time Location of Close Contact

This form can be downloaded at www.sa.gov.au V1 as at 9/05/2020

http://www.sa.gov.au/

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