RECORD OF ATTENDANCE*These records must be retained and if requested, be produced to an Authorised Officer

as proof of compliance with Directions issued pursuant to the Emergency Management Act, 2004.

Name of Attendee Phone Number Date / Time Location / Venue attended

This form can be downloaded at www.sa.gov.au V1 as at 9/05/2020

RECORD OF ATTENDANCE*These records must be retained and if requested, be produced to an Authorised Officer

as proof of compliance with Directions issued pursuant to the Emergency Management Act, 2004.

Name of Attendee Phone Number Date / Time Location / Venue attended

This form can be downloaded at www.sa.gov.au V1 as at 9/05/2020