COVID-19 On-Site Service Request Questionaire
Service Address
Service Address
What type of work do you need to be done on-site?
Please provide a detailed description about the on-site work you are requesting
Essential Business
Are you considered an essential business based on local laws?
Do you have COVID-19 Safety Documentation?
(Approximate Sq. ft.)
(Not including our technician)
Physical Distancing Policy
Can a minimum distance of 6' be maintained during on-site service at all times? Are there site resources to monitor and enforce?
Face Mask Required
Are all on-site personnel required to wear facial protection? Is there an on-site resource to monitor and enforce?
Gloves Required?
Are all on-site personnel required to wear gloves?
In the areas where Z Systems' services are to be performed, how are the surfaces being cleaned and sanitized?