Self Declaration Form Covid 19

Self Declaration Form Covid 19 Template for Singapore

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Key Requirements PROMPT example:

"I need a COVID-19 Self Declaration Form for my Singapore-based retail company with 200 employees, including specific clauses about vaccination status and regular ART testing requirements for customer-facing staff."

Document background

The Self Declaration Form COVID-19 was developed in response to Singapore's public health requirements during the COVID-19 pandemic. This document enables organizations to collect essential health information from individuals entering their premises or participating in activities, in accordance with Singapore's legal framework. The form typically includes declarations about current health status, travel history, contact with confirmed cases, and compliance with prevailing safety measures. It serves as both a screening tool and a legal record, supporting contact tracing efforts and risk management strategies.

Suggested Sections

1. Personal Information: Basic identification details including full name, NRIC/FIN/Passport number, contact details, and residential address

2. Health Status Declaration: Declaration of current health condition, presence of any COVID-19 symPTOms, and existing medical conditions

3. Travel History: Details of international travel within specified period (typically 14 days) including countries visited and dates

4. Contact History: Declaration of any contact with confirmed COVID-19 cases or presence at known cluster locations

5. Declaration Statement: Formal statement confirming the truth and accuracy of provided information, with acknowledgment of legal consequences for false declarations

Optional Sections

1. Vaccination Status: Optional section for declaring COVID-19 vaccination status, including type of vaccine and dates of doses

2. Test Results: Optional section for including recent COVID-19 test results, particularly relevant for high-risk settings or workplace requirements

3. Household Members Status: Optional section for declaring health status of household members, particularly relevant for contact tracing purposes

Suggested Schedules

1. Privacy Notice: Detailed information about how personal data will be collected, used, stored, and protected in compliance with PDPA

2. SymPTOm Checklist: Comprehensive checklist of COVID-19 symPTOms as defined by Ministry of Health guidelines

3. Contact Tracing Requirements: Specific requirements and procedures for contact tracing compliance including TraceTogether and SafeEntry protocols

Authors

Alex Denne

Head of Growth (Open Source Law) @ ��Ƶ | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

alex.den.21@genieai.co

Relevant legal definitions

Clauses

Relevant Industries

Healthcare
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Relevant Teams

Human Resources
Operations
Legal
Facilities Management
Health & Safety

Relevant Roles

Human Resources Manager
Facility Manager
Health and Safety Officer
Operations Director
Security Supervisor

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Let's create your Self Declaration Form Covid 19

Authors

Alex Denne

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