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MARITIME DECLARATION OF HEALTH Submitted for Port of Gibraltar Name of ship Masters name No of crew Last Port IMO No ETA No of passengers Next Port (after Gibraltar) Health questions YES 1 2 3 4 5
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How to fill out maritime declaration of health

How to fill out maritime declaration of health:
01
Obtain the maritime declaration of health form. This form can usually be found on the website of your country's health department or maritime authority. It may also be provided by your employer or the vessel operator.
02
Start by filling out your personal information at the top of the form. This typically includes your name, date of birth, passport number, contact information, and position on the vessel.
03
Indicate the vessel's name, port of departure, and port of destination.
04
Declare any illnesses or symptoms you have or had within the past 14 days. This includes respiratory symptoms, fever, gastrointestinal symptoms, and any other relevant health conditions.
05
Specify if you have had any contact with individuals who have tested positive for COVID-19 or any other contagious diseases.
06
Provide information about your vaccination status, including the type of vaccine received and the date of vaccination.
07
If necessary, disclose any medications you are currently taking.
08
Sign and date the form to confirm the accuracy of the information provided.
09
Submit the completed maritime declaration of health form to the designated authority or your employer as instructed.
Who needs maritime declaration of health:
01
Crew members and passengers on maritime vessels are typically required to fill out a maritime declaration of health form. This can include individuals working on cargo ships, cruise ships, fishing vessels, and other types of maritime transportation.
02
Port authorities and maritime authorities may require these forms to be completed to monitor and prevent the spread of infectious diseases, such as COVID-19, on board vessels and in port areas.
03
The maritime declaration of health helps authorities identify potential health risks and take necessary precautions to protect the crew, passengers, and public health. It also allows for prompt intervention in case of a health emergency or outbreak on board a vessel.
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What is maritime declaration of health?
Maritime Declaration of Health is a document required to be submitted by ships arriving at a port, detailing the health status of passengers and crew on board.
Who is required to file maritime declaration of health?
The ship's master or operator is required to file the Maritime Declaration of Health.
How to fill out maritime declaration of health?
The Maritime Declaration of Health can be filled out by providing information on the health conditions of passengers and crew, recent ports visited, any illnesses on board, and other relevant health information.
What is the purpose of maritime declaration of health?
The purpose of Maritime Declaration of Health is to prevent the spread of infectious diseases between ports and ensure the health and safety of people on board and in the port.
What information must be reported on maritime declaration of health?
Information such as number of sick passengers and crew, recent ports visited, any deaths on board, and any illnesses should be reported on the Maritime Declaration of Health.
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