COVID-19 health check form

Please complete this form to arrange access to our site.

Your health and safety is important to us. As a precautionary measure and to safeguard your well-being and those of our customers and team members, please take a few minutes to complete this form.

You will need to resubmit this form as directed by Riverina Water to maintain ongoing access to our site.

Please check the NSW Government's latest case information before completing this form.  

Please advise Riverina Water of any change in your circumstances that may put others at risk of contracting COVID-19.

Your details
COVID-19 declaration
















Submit form