The Self Declaration Form COVID 19 was developed in response to the ongoing need for health status monitoring and risk management in Hong Kong. This document aligns with Hong Kong's public health regulations, particularly the Prevention and Control of Disease Ordinance (Cap. 599) and its subsidiary legislation. The form serves multiple purposes, including workplace entry screening, travel requirements, and general health monitoring. It captures essential information such as personal details, current health status, exposure history, and vaccination status. The document is designed to be both comprehensive in terms of health data collection and compliant with Hong Kong's personal data protection requirements. Organizations across various sectors use this form as part of their COVID-19 risk management protocols, making it a crucial tool in maintaining public health safety while ensuring proper data handling and privacy protection.
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1. Personal Information: Essential identification details including full name, HKID/passport number, date of birth, and contact information
2. Health Declaration: Current health status, including presence of COVID-19 symptoms, test results if applicable, and vaccination status
3. Close Contact Declaration: Declaration of any close contact with confirmed COVID-19 cases in the relevant period
4. Consent and Data Privacy Notice: Statement about how the collected data will be used and stored in compliance with PDPO
5. Declaration of Truth: Statement confirming all provided information is true and accurate, with acknowledgment of legal consequences for false declarations
6. Signature and Date: Space for declarant's signature and date of completion
1. Travel History: Details of travel in the past 14 days - include when form is used for border control or high-risk settings
2. Residence History: Address and movement history - include when contact tracing is required
3. Workplace/School Information: Details of workplace or educational institution - include when form is used for organizational entry
4. Vaccination Record: Detailed vaccination information - include when specific vaccination requirements exist
5. Testing History: Recent COVID-19 test results - include when regular testing verification is required
1. Schedule A - Symptom Checklist: Comprehensive list of COVID-19 symptoms for reference
2. Schedule B - Privacy Policy: Detailed privacy policy and data handling procedures
3. Schedule C - Contact Definitions: Definitions of close contact and exposure scenarios
4. Appendix 1 - Emergency Contacts: List of relevant health authority contacts and emergency numbers
5. Appendix 2 - Declaration Guidelines: Instructions for completing the form and relevant legal references
Relevant legal definitions
Close Contact
COVID-19
Declarant
Form
Health Authorities
Health Data
Isolation
Medical Symptoms
Organization
Personal Data
Premises
Quarantine
Receiving Party
Relevant Period
SARS-CoV-2
Self-Declaration
Specified Premises
Suspected Case
Travel History
Vaccination Status
Virus Test
Authorized Representative
Data Controller
Data Processor
False Declaration
Isolation Order
Mandatory Testing
Restricted Area
COVID-19
Declarant
Form
Health Authorities
Health Data
Isolation
Medical Symptoms
Organization
Personal Data
Premises
Quarantine
Receiving Party
Relevant Period
SARS-CoV-2
Self-Declaration
Specified Premises
Suspected Case
Travel History
Vaccination Status
Virus Test
Authorized Representative
Data Controller
Data Processor
False Declaration
Isolation Order
Mandatory Testing
Restricted Area
Clauses
Personal Information
Health Declaration
Data Protection
Privacy Notice
Declaration of Truth
Consent
Legal Compliance
Information Accuracy
Health Status
Contact History
Travel Declaration
Symptoms Disclosure
Testing Status
Vaccination Status
Emergency Contact
Information Usage
Data Retention
Liability
False Declaration Consequences
Signature and Verification
Health Declaration
Data Protection
Privacy Notice
Declaration of Truth
Consent
Legal Compliance
Information Accuracy
Health Status
Contact History
Travel Declaration
Symptoms Disclosure
Testing Status
Vaccination Status
Emergency Contact
Information Usage
Data Retention
Liability
False Declaration Consequences
Signature and Verification
Relevant Industries
Healthcare
Education
Financial Services
Retail
Hospitality
Manufacturing
Transportation
Government Services
Professional Services
Construction
Events and Entertainment
Real Estate
Relevant Teams
Human Resources
Health and Safety
Compliance
Operations
Facilities Management
Security
Legal
Risk Management
Corporate Services
Data Protection
Medical Services
Relevant Roles
Health and Safety Manager
HR Director
Compliance Officer
Facility Manager
Operations Manager
Risk Management Officer
Office Manager
Security Supervisor
Medical Officer
Corporate Services Manager
Legal Counsel
Data Protection Officer
Chief Operations Officer
Workplace Health Coordinator
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