HHS Attachment A Combined Passenger Disclosure and Attestation to the United States of America 2021-2025 free printable template

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ATTACHMENT A: COMBINED PASSENGER DISCLOSURE AND ATTESTATION TO THE UNITED STATES OF AMERICA This combined passenger disclosure and attestation fulfills the requirements of U.S. Centers for Disease

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How to fill out HHS Attachment A Combined Passenger Disclosure and Attestation

01

Start by obtaining the HHS Attachment A Combined Passenger Disclosure and Attestation form.

02

Fill in your personal information, including your name, contact details, and travel itinerary.

03

Provide necessary identification details, such as your passport number.

04

Carefully read through the declaration statements related to health and travel history.

05

Indicate your consent by signing and dating the form.

06

Review the completed form to ensure all information is accurate and legible.

07

Submit the form as per the instructions provided by the relevant authority.

Who needs HHS Attachment A Combined Passenger Disclosure and Attestation?

01

Passengers traveling to or from specific locations that require health disclosures.

02

Individuals participating in programs or events that are subject to health safety regulations.

03

Travelers who have been advised by public health authorities to complete the form for monitoring purposes.

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What is HHS Attachment A Combined Passenger Disclosure and Attestation?

HHS Attachment A Combined Passenger Disclosure and Attestation is a form that collects information from passengers to ensure compliance with health and safety regulations regarding the travel and transport of individuals.

Who is required to file HHS Attachment A Combined Passenger Disclosure and Attestation?

Passengers traveling into the United States from certain jurisdictions or those traveling on specific carriers are typically required to file HHS Attachment A.

How to fill out HHS Attachment A Combined Passenger Disclosure and Attestation?

To fill out HHS Attachment A, passengers need to provide personal identification information, travel details, health status, and any other required disclosures as outlined on the form.

What is the purpose of HHS Attachment A Combined Passenger Disclosure and Attestation?

The purpose of HHS Attachment A is to ensure that public health officials have the necessary information to manage health risks associated with travel and to comply with federal health regulations.

What information must be reported on HHS Attachment A Combined Passenger Disclosure and Attestation?

The information that must be reported includes the passenger's name, contact information, travel itinerary, health status, and any symptoms related to infectious diseases.

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