Health Screening Form for all Visitors to RBLI premises – Self-declaration

Due to the current threat posed by the Coronavirus we are requiring all visitors and contractors to RBLI premises to complete this form within the 48 hour period before attending the site.

Following submission of the form, you will be contacted by email to confirm whether your attendance can go ahead.

Please do not attend for your meeting without that confirmation. Whilst on site you must follow the relevant procedures we have introduced to ensure the safety of our employees, visitors and beneficiaries.  Please ensure you read  the RBLI Coronavirus Visitor Guidelines found here


If you answer yes to any of the above questions, please do not attend the site.
If any of your answers change at any point after submitting the form – please alert your host immediately and do not attend RBLI premises unless you receive confirmation that you may attend. The completed form will be held securely for 28 days following the date of your visit.

We thank you for your cooperation.