Quarantine Declaration Form Template for Hong Kong

The Quarantine Declaration Form is a mandatory document implemented under Hong Kong's public health regulations, specifically the Prevention and Control of Disease Ordinance (Cap. 599) and its subsidiary legislation. This form becomes necessary when individuals are required to undergo quarantine, typically upon arrival in Hong Kong or following exposure to infectious diseases. The document serves multiple purposes: it creates a legal record of the individual's commitment to comply with quarantine requirements, captures essential health and contact information for monitoring purposes, and establishes a formal agreement between the individual and health authorities. The form must align with Hong Kong's data protection laws while facilitating effective public health management. It includes sections for personal identification, travel history, health status declaration, and acknowledgment of legal obligations, with provisions for both physical and electronic submission.

1. Personal Information: Essential identification details including full name, HKID/passport number, date of birth, and contact information

2. Travel History: Details of recent travel including departure country, transit locations, flight numbers, and dates

3. Health Declaration: Declaration of current health status, symptoms, and any known exposure to infectious diseases

4. Quarantine Location Details: Information about the intended quarantine location including full address and contact details

5. Emergency Contact: Details of emergency contact person in Hong Kong

6. Declaration and Consent: Legal declaration of truth of provided information and consent to quarantine requirements

7. Data Privacy Statement: Statement about how personal data will be collected, used, and protected as per PDPO requirements