COVID-19 Provincial Exemption Request Checklist:
Entry into Alberta from outside Canada
©2020 Government of Alberta | Published: July 2020
Use this form if you have received a federal exemption to COVID-19 isolation requirements for entry into
Canada. You must qualify under the essential service worker group exemption or have been issued a
federal exemption before you receive a provincial one. For more information on restrictions, please visit
Please submit your request to with the subject line ‘Attention: Exemption Team.’ It can
take up to 10 business days for your information to be reviewed. You may be contacted with questions or if any
additional information is needed.
Point of contact for questions or clarication:
Legal name of company or Canadian entity and if applicable, the legal name of the contractor the exemption
is for (including corporate address)
Location of worksite(s):
Names of employee(s) (preferred) or class of essential service workers to exempt (include name, address
including country of residence, contact email, contact phone number while in Alberta):
Arrival date:
Departure date:
©2020 Government of Alberta | Published: July 2020
Rationale for classifying as essential service workers:
Attach your corporate COVID-19 plan describing precautions to keep workers safe. If you do not have one, a
template is available at:
Optional: attach the designated accommodation COVID-19 plan (hotel’s COVID-19 policy or a letter stating
how they will support your employees):
Travel arrangements to and from worksite, and to and from the airport/land border:
- Provide a plan that may include travel requirements such as, but not limited to:
- Mask wearing while traveling or when unable to social distance
- Frequent hand hygiene
- Attempting to social distance at all times
- Use pay at the pump to obtain gas
- Obtain food at drive through locations and
- Contactless car rentals, taxi/rideshare (nd guidance here:
- Do not use public transit