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  • Maritime Health Declaration Form

Get Maritime Health Declaration Form

Valid Sanitation Control Exemption/Control Certificate carried on board? YES NO Issued at : Date: Name of ship Master s name No of crew Re inspection required? YES NO Has ship visited an affected area identified by the World Health Organization? YES NO Port and date of visit Health Questions YES 1 2 3 4 5 6 7.

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How to fill out the Maritime Health Declaration Form online

Filling out the Maritime Health Declaration Form online is a crucial step in ensuring the health and safety of all individuals on board. This guide provides clear instructions for completing each section of the form accurately and efficiently.

Follow the steps to successfully complete the Maritime Health Declaration Form.

  1. Click ‘Get Form’ button to access the Maritime Health Declaration Form in your editing interface.
  2. Begin by entering the IMO number and estimated time of arrival (ETA) as required. This information is vital for identifying your vessel.
  3. Record the number of passengers and specify the next and last ports of call, ensuring all details are accurate.
  4. Indicate whether a valid sanitation control exemption or control certificate is carried on board by selecting 'YES' or 'NO'. Provide the issuing details including the date.
  5. Fill in the name of the ship, the master's name, and the crew count. Ensure this information is up-to-date for compliance.
  6. Answer the question about re-inspection requirements by selecting 'YES' or 'NO'. This may affect your vessel's port entry.
  7. Address the health inquiries by indicating if the ship has visited an affected area as per World Health Organization guidelines.
  8. Complete the health questions section, indicating 'YES' or 'NO' to any relevant medical situations on board. Provide details for any affirmative responses.
  9. Declare any deaths on board during the voyage and provide the total number if applicable. Include specifics for any illnesses that may have arisen and medical assistance received.
  10. Finalize the declaration by signing and dating the form, confirming that all information provided is true to the best of your knowledge.
  11. Once all sections are filled, save your changes, and ensure you can download, print, or share the document as required.

Complete your Maritime Health Declaration Form online today to ensure a safe and smooth journey.

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When arriving from a foreign port, a Master of a ship is required to report to the Port Health Authority any suspected infectious disease or death on board amongst crew, passengers or any animals or birds. This report should be made not less than 4 hours and not more than 12 hours before arrival.

A Maritime Declaration of Health is the form used to provide such information. It covers: details of the ship. status of any Ship Sanitation Certification. number of passengers.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232