Company Name* Contact Name* Email* 1. Is your business located within Victoria? If yes continue to question 2. If no, skip to question 5.* Yes No 2. Does your business fall under the category of a permitted industry and are you able to continue to operate throughout stage 4 government restrictions? Yes No Unsure 3. If your business will remain open, could you please specify if there are any changes to opening hours or capacity restrictions that could affect our existing arrangements? (ie. logistics, admin, contact details etc.) Yes No Comment if necessary 4. Is your workplace operating with a COVID-19 SAFE PLAN or currently developing a plan which will be utilised as of Friday the 7th August 11.59pm. Yes No 5. What are the core industries your business supplies to or operates within? Select multiple fields if appropriate.* Aerospace Agriculture Automotive Construction Defence Food & Beverage Infrastructure Manufacturing Marine Medical Mining Oil & Gas Petrochemical Rail Transport Other If you selected Other, please comment below. 6. Do you classify DooGood Surface Coatings Pty Ltd as a critical supplier?* Yes No Comment if necessary 7. Is it likely that you will require Doogood Surface Coatings Pty Ltd services at anytime during August and September 2020.* Yes No Maybe Please provide as little or as much detail as appropriate in the comment box below. CAPTCHA Δ
