GI Port Authority Maritime Declaration of Health 2014-2025 free printable template

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10. 14 Date of completion ATTACHMENT TO MARITIME DECLARATION OF HEALTH NAME CLASS OR RATING AGE SEX NATIONALITY PORT DATE NATURE JOINED OF ILLNESS SHP/VESSEL DATE OF ONSET OF SYMPTONS REPORTED DISPOSAL TO A OF CASE PORT MEDICAL OFFICER DRUGS MEDICINES OR OTHER TREATMENT GIVEN TO PATIENT COMMENTS state 1 whether the person recovered is still ill or died and 2 whether the person is still on board or was evacuated including the name of the port or airport. MARITIME DECLARATION OF HEALTH...

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How to fill out GI Port Authority Maritime Declaration of Health

01

Obtain a blank GI Port Authority Maritime Declaration of Health form.

02

Fill in the name of the vessel at the top of the form.

03

Provide the port of departure and the date of departure.

04

List the ports of call made during the journey.

05

Include details of the crew and passengers on board.

06

Answer questions related to health conditions and symptoms observed.

07

State any recent outbreaks of communicable diseases on board.

08

Sign and date the declaration at the end of the form.

Who needs GI Port Authority Maritime Declaration of Health?

01

All vessels arriving at the GI Port Authority must complete the Maritime Declaration of Health.

02

Captains and ship owners are responsible for filling out this declaration.

03

Health authorities may require this declaration from vessels to ensure safe entry into port.

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What is GI Port Authority Maritime Declaration of Health?

The GI Port Authority Maritime Declaration of Health is a formal document required for vessels entering a port, providing health information about the crew and passengers on board.

Who is required to file GI Port Authority Maritime Declaration of Health?

The captain or the authorized representative of any vessel entering the port is required to file the GI Port Authority Maritime Declaration of Health.

How to fill out GI Port Authority Maritime Declaration of Health?

To fill out the GI Port Authority Maritime Declaration of Health, the captain needs to provide details about the ship, its voyage, crew health statuses, and any illness or medical events that occurred during the journey.

What is the purpose of GI Port Authority Maritime Declaration of Health?

The purpose of the GI Port Authority Maritime Declaration of Health is to monitor and manage health risks associated with maritime travel, particularly to prevent the spread of infectious diseases.

What information must be reported on GI Port Authority Maritime Declaration of Health?

The information that must be reported includes the ship's name, port of departure, date of arrival, crew and passenger health conditions, any illnesses reported on board, and any previous ports visited.

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