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TRAVELER’S HEALTH DECLARATION/QUESTIONNAIRE

To be completed and signed prior to boarding by all persons. One form per person

  • TO ASSIST US IN PROTECTING THE HEALTH AND SAFETY OF PASSENGERS AND CREW YES NO ON THIS FLIGHT, WE REQUIRE YOU TO ANSWER THE FOLLOWING QUESTIONS:

  • NOTE: IF YOU ANSWERED “YES” TO QUESTION (5) YOU MAY BE DENIED TRAVEL AS YOU ARE SUSPECTED TO HAVE AN ILLNESS OF INTERNATIONAL PUBLIC HEALTH CONCERN.

  • I certify that the above declaration is true and correct and understand that any dishonest answers may have serious public health implications.
  • *By typing your name in the box below, you are electronically signing this document. Your electronic signature is legally binding and enforceable and the legal equivalent to your handwritten signature*