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Tippecanoe County Health Department
Nursing
TH
629 North 6 Street Lafayette Indiana 47901
Phone: (765) 4239767
Fax: (765) 4239797PreTravel Questionnaire Form
(Please Print Clearly)
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How to fill out travel questionnaire form
How to fill out travel questionnaire form
01
Start by providing your personal information such as name, date of birth, and contact details.
02
Fill in your travel itinerary including the dates of departure and arrival, as well as the purpose of your trip.
03
Answer any health-related questions regarding your current health status and recent travel history.
04
Sign and date the form to confirm the accuracy of the information provided.
Who needs travel questionnaire form?
01
Anyone planning to travel internationally or domestically may need to fill out a travel questionnaire form. This can include tourists, business travelers, students studying abroad, and individuals returning from a trip abroad.
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What is travel questionnaire form?
The travel questionnaire form is a document used to collect information regarding an individual's travel history and plans, often for health and safety, immigration, or taxation purposes.
Who is required to file travel questionnaire form?
Generally, individuals who have traveled internationally or plan to travel may be required to file a travel questionnaire form, especially if mandated by health organizations or government authorities.
How to fill out travel questionnaire form?
To fill out the travel questionnaire form, one should carefully read the instructions, provide accurate personal information, detail travel history, and answer any health-related inquiries truthfully.
What is the purpose of travel questionnaire form?
The purpose of the travel questionnaire form is to assess the traveler's health status, potential exposure to infectious diseases, and to ensure compliance with safety regulations or policies.
What information must be reported on travel questionnaire form?
The information required typically includes personal details, travel itinerary, duration of stay, places visited, contact information, vaccination history, and any health concerns.
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