COVID-19 Liability Waiver Template

The COVID-19 Liability Waiver is a free waiver template with 6 questions, 5 of them required, ready to sign on a tablet or from a link. Preview every field on this page without an account, then copy it into Survtapp and reword any clause before you collect a single signature.

Waiver6 fields · 5 requiredCovid-19LiabilityWaiverRelease
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What is in the COVID-19 Liability Waiver template?

The COVID-19 Liability Waiver template holds 6 questions, 5 of which must be answered before it can be submitted and 1 of which is optional. Between them they capture short typed answers, an email address, a phone number, a date, yes-or-no answers and an on-screen signature.

Broken down by field type, the COVID-19 Liability waiver is 2 contact fields, 1 date fields, 1 pass/fail checks and 1 signature fields.

Above those fields sit roughly 173 words of waiver wording, printed in full further down this page. It is a starting point drafted for a general setting, not legal advice — replace it with wording your own adviser has approved. Survtapp retains the exact text each person was shown alongside their record, so editing the COVID-19 Liability Waiver later never changes what an earlier signer agreed to.

When should you use the COVID-19 Liability Waiver template?

The COVID-19 Liability Waiver is filed under “Covid-19”, “Liability”, “Waiver” and “Release”, in the general part of the library, so it is written to suit any team standardising something people were doing on paper. An assumption-of-risk and liability release relating to COVID-19 exposure.

Waivers get signed at the point of entry: on a tablet at a front desk, on a kiosk-locked device by the door, or on the signer’s own phone from a link you send ahead. At 6 questions, only 5 of them required, the COVID-19 Liability waiver is short enough to finish in one sitting, which is what keeps completion rates up.

Does the COVID-19 Liability Waiver work offline?

Yes. Once the COVID-19 Liability Waiver is published, the 6 fields and every answer option are stored on the device, so the waiver opens and completes with no connection at all. Each signed waiver is written to the device first and queued; when signal returns it syncs on its own, keeping the time it was actually captured rather than the time it uploaded.

That includes the heavy parts: signatures drawn on the glass are held on the device and uploaded when the connection comes back, so a dead zone costs you nothing. Kiosk mode locks a tablet to the COVID-19 Liability Waiver alone, so the next person who picks it up gets a fresh copy of the same 6 fields and cannot wander into anything else.

How do you customise the COVID-19 Liability Waiver template?

Open the COVID-19 Liability waiver in the builder and all 6 questions land as editable fields — nothing is locked to the template. Rewrite the wording, drag fields into a different order, flip any of the 5 required fields to optional (or the other way round), and add anything missing from the 20+ field types in the builder.

The COVID-19 Liability Waiver runs on a single screen as it stands. Add a page break to split its 6 fields across several, or conditional logic to hide fields that an earlier answer has made irrelevant.

Nothing about the COVID-19 Liability Waiver stays Survtapp-branded, either: your logo, your colours and your own URL slug replace ours, so the 6 fields you publish read as part of your own site rather than as a template someone downloaded.

What happens to the signed waivers you collect?

Every signed waiver from the COVID-19 Liability waiver lands in one place with its timestamp, the agent who collected it and, where the device allows, where it was captured. From there pass and fail counts are totalled per check and each signed record renders to a PDF showing what was presented and agreed to.

Export the lot to CSV, Excel, JSON or PDF whenever you want it elsewhere, or set a trigger so a signed waiver from the COVID-19 Liability Waiver emails the right person the moment it arrives. Data is held in Canada, the signed waivers stay yours, and you can export or delete them at any time.

What are the 6 questions in the COVID-19 Liability Waiver?

Here is every field in the order a respondent meets it, with the answer type it uses. Nothing here is fixed — the list is where you start, not what you are stuck with.

  1. 1

    Full Legal Namerequired

    Short text

  2. 2

    Email Addressrequired

    Email

  3. 3

    Phone Number

    Phone

  4. 4

    Daterequired

    Date

  5. 5

    I confirm I have no COVID-19 symptoms todayrequired

    Yes / No

  6. 6

    Signaturerequired

    Signature

How do you start using the COVID-19 Liability Waiver?

  1. Preview it. Read all 6 questions in the COVID-19 Liability Waiver on this page. No account is needed to preview a template.

  2. Copy it into your account. Create a free Survtapp account and use the template. The COVID-19 Liability Waiver arrives as an editable waiver, not a locked copy.

  3. Make it yours. Rewrite the wording, reorder the COVID-19 Liability waiver's 6 fields, adjust which of the 5 required ones stay required, and apply your logo and colours.

  4. Publish and collect. Share a link or QR code, or open the COVID-19 Liability Waiver on a tablet in kiosk mode. It collects signed waivers offline and syncs when the device reconnects.

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How will the COVID-19 Liability Waiver look to the person filling it in?

This is the live preview, rendered with the same field widgets the published waiver uses. It is read-only here, and your own logo and colours replace ours once it is in your account.

COVID-19 ASSUMPTION OF RISK, WAIVER, AND RELEASE OF LIABILITY I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that I (and, where applicable, my family) may be exposed to or infected by COVID-19 by participating in the activities and programs offered by [Company Name], and that such exposure or infection may result in personal injury, illness, permanent disability, or death. I understand that the risk of becoming exposed to or infected by COVID-19 may result from the actions, omissions, or negligence of myself and others. I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury or illness that I may experience. I hereby release, covenant not to sue, discharge, and hold harmless [Company Name], its employees, agents, and representatives, from any and all liability, claims, or demands of whatever kind arising out of or relating to exposure or infection by COVID-19, to the fullest extent permitted by law. I have read this release, fully understand its terms, and sign it freely and voluntarily.
Short answer…
+1 555 123 4567
YesNo
Signature area

Which templates are like the COVID-19 Liability Waiver?

These share a tag with it in the free library, so they tend to suit the same job. Every one is free to preview without an account.

Or browse every free form template, or just the ones tagged Covid-19.

Questions, answered plainly

How many questions are in the COVID-19 Liability Waiver template?

The COVID-19 Liability waiver has 6 questions, 5 of them required and 1 optional. You can add, remove or reorder any of them once the template is in your account.

Is the COVID-19 Liability Waiver template free to use?

Yes. All 6 questions in the COVID-19 Liability waiver are free to preview here with no account, and the template is free to copy into Survtapp. A free account is enough to customise and publish it; the pricing page lists what each plan includes.

Can I change the questions in the COVID-19 Liability Waiver?

Yes — all 6 fields in the COVID-19 Liability Waiver are editable. Rewrite any question, change which fields are required, reorder them, and add fields from the 20+ types in the builder.

Does the COVID-19 Liability Waiver work without an internet connection?

Yes. The COVID-19 Liability waiver and all 6 of its fields are cached on the device, so it opens and completes offline. Each signed waiver queues locally and syncs automatically when the connection returns, keeping its original capture time.

What devices can the COVID-19 Liability Waiver be filled in on?

Any modern browser, plus the Survtapp iOS and Android apps. The COVID-19 Liability waiver's 6 fields can run on a shared kiosk-locked tablet, on a link people open on their own phone, or behind a QR code on a poster or a receipt.

Who can see the signed waivers collected with the COVID-19 Liability Waiver?

Only the people in your account you give access to, per their role. Every answer to the COVID-19 Liability waiver's 6 fields is stored in Canada, is never sold, and can be exported to CSV, Excel, JSON or PDF — or deleted — at any time.

What is recorded when someone signs the COVID-19 Liability Waiver?

The signature itself, the date and time it was captured, the IP address where available, every consent box as it was answered, and the exact text that signer was shown. Editing the COVID-19 Liability waiver later does not change records already collected.

Start with the COVID-19 Liability Waiver

Copy all 6 fields into a free account, change whatever you like, and start collecting signed waivers — online or offline.

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