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Form Approved OMB Control No. 09201303 Expiration Date: 12/31/2020 FORM DECLARATION UNDER PENALTY OF PERJURY FOR THE CENTERS FOR DISEASE CONTROL AND PREVENTIONS TEMPORARY HALT IN EVICTIONS TO PREVENT
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How to fill out coronavirus self declaration form
How to fill out coronavirus self declaration form
01
To fill out the coronavirus self-declaration form, follow these steps:
02
Begin by accessing the form either through an online portal or by obtaining a physical copy.
03
Provide your personal information such as your full name, date of birth, address, and contact details.
04
Specify your recent travel history, including any countries or regions you have visited in the past few weeks.
05
Answer the questionnaire regarding your current health status and any symptoms you may be experiencing.
06
Declare if you have come into contact with any known COVID-19 cases or if you have been in close proximity to someone who has tested positive.
07
Sign and date the form to confirm the accuracy of the information provided.
08
Submit the completed self-declaration form through the designated channels, whether it be online submission or physically handing it over to the relevant authorities.
09
Keep a copy of the filled form for your records and follow any additional instructions provided by the respective authorities.
Who needs coronavirus self declaration form?
01
Anyone who is required to travel, attend public gatherings, or enter certain premises may need to fill out a coronavirus self-declaration form.
02
It is typically mandated by government health departments, airlines, event organizers, employers, educational institutions, and healthcare facilities to ensure visibility of individual health statuses and to mitigate the spread of COVID-19.
03
Specific requirements may vary depending on local regulations and guidelines.
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What is coronavirus self declaration form?
The coronavirus self declaration form is a document that individuals must fill out to declare their COVID-19 status and exposure history.
Who is required to file coronavirus self declaration form?
All individuals, especially those entering certain premises or participating in events, may be required to file the coronavirus self declaration form.
How to fill out coronavirus self declaration form?
To fill out the coronavirus self declaration form, individuals must provide their personal information, COVID-19 symptoms, recent travel history, and potential exposure to the virus.
What is the purpose of coronavirus self declaration form?
The purpose of the coronavirus self declaration form is to assess an individual's risk of spreading COVID-19 and to implement necessary precautions to prevent further transmission.
What information must be reported on coronavirus self declaration form?
Information such as personal details, COVID-19 symptoms, recent travel history, and potential exposure to the virus must be reported on the coronavirus self declaration form.
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