Health self declaration form 2026

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  1. Click ‘Get Form’ to open the health self declaration form in the editor.
  2. Begin by filling out the 'Traveller Information' section. Enter your first name(s), last name(s), date of birth, travel document number and issuing country, country of residence, and port of origin.
  3. In the next section, answer whether you or any member of your group had close contact with someone showing COVID-19 symptoms in the past 14 days by selecting 'Yes' or 'No'.
  4. Proceed to indicate if you or any group member experienced symptoms such as fever, shortness of breath, coughing, or sudden loss of taste/smell in the past 14 days. Mark 'Yes' or 'No' for each symptom.
  5. Next, confirm if you or anyone in your group tested positive for COVID-19 in the last 3 days. If available, attach a report.
  6. Finally, list all countries and cities visited or transited through in the last 14 days along with visit dates. Ensure to start with the most recent country.
  7. Sign and date the form at the bottom before submitting it.

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