Traveller public health declaration english fillable document 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out the 'Traveller Information' section. Enter your flight, ship, train, or ground vehicle number and your seat or cabin number. Then, provide your last name, first name, passport country, and passport number.
3. Next, input your arrival date and birth date. Indicate your sex by selecting either Male or Female. Don't forget to include your email address and telephone number with the appropriate country code.
4. Complete the home address and the address where you will stay for the next 21 days.
5. In the 'Public Health Information' section, answer whether you have experienced any symptoms in the past 48 hours by selecting Yes or No for each symptom listed.
6. Indicate if you have had contact with anyone sick with Ebola or worked in a healthcare facility treating Ebola patients in the past 21 days.
7. Finally, list all countries you have visited in the past 21 days, starting with the most recent one. If more space is needed, utilize the back of the page.

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