Health Risk Notice Acknowledgement Form
1. Are you a Singapore resident?
Select "Yes" if you have a Singapore NRIC number / FIN, "No" otherwise
NO YES
2. I acknowledge that I have been notified of my Health Risk Notice (HRN) status
Acknowledge
3. Do you have any mobility issues affecting your ability to leave your place of residence?
NO YES

Health Risk Notice Acknowledgement Form
1 min estimated time to complete1. Are you a Singapore resident?
Select "Yes" if you have a Singapore NRIC number / FIN, "No" otherwise
NO YES
2. I acknowledge that I have been notified of my Health Risk Notice (HRN) status
Acknowledge
3. Do you have any mobility issues affecting your ability to leave your place of residence?
NO YES