Declaration Form
If you have scheduled a pickup or delivery from BEAM Space in Singapore, whether for storage or logistics services, please complete this Declaration Form prior to our driver arriving. Unfortunately, we will have to cancel any requests for which a Declaration Form has not been submitted.

The information you provide is important in managing the risk of COVID-19 transmission. The Infectious Diseases Act requires a person who has reason to suspect that he is a case or carrier of COVID-19, or has had contact with a person with COVID-19, to act in a responsible manner to not expose other persons to the risk of infection by the disease.

For updates on our precautionary measures, service availability and operational status, please visit follow us on social media or visit our blog at the following URLs:

https://www.facebook.com/beamspace
https://www.twitter.com/beamspacedotcom
https://blog.beamspace.com

As always, please feel free to reach out by chatting with us on www.beamspace.com or e-mailing to cs@beamspace.com.
Email address *
Your Name *
Your answer
Last 4 characters of your NRIC/FIN/Passport number *
Your answer
Mobile Number *
Your answer
Date of scheduled pickup/delivery *
MM
/
DD
/
YYYY
Have you traveled abroad (i.e. to any countries outside of Singapore) in the past 14 days? *
Do you have flu-like symptoms (e.g. fever, cough, runny nose, sore throat or loss of taste / smell, etc.)? *
Did you, in the past 14 days, come in close contact with someone who(i) Is a confirmed COVID-19 case; OR(ii) Is part of a COVID-19 cluster? *
Have you returned from the Middle East* in the past 14 days? *
*High Risk Middle Eastern Countries (for MERS-CoV) include: Jordan, Kuwait, Lebanon, Oman, Qatar, Saudi Arabia, United Arab Emirates & Yemen
Did you come in contact with someone who has returned from Middle East and he/she is not feeling well in the past 14 days? *
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Beam Space. Report Abuse