Legal Templates
Self Declaration Form Covid 19

Self Declaration Form Covid 19 for Singapore

Self Declaration Form Covid 19 Template for Singapore

A COVID-19 Self Declaration Form under Singapore jurisdiction is a legal document where individuals declare their health status, travel history, and potential exposure to COVID-19. The form complies with Singapore's COVID-19 (Temporary Measures) Act 2020 and related regulations, incorporating requirements from the Ministry of Health and workplace safety guidelines. It serves as a crucial tool for contact tracing and risk management in various organizational settings.

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What is a Self Declaration Form Covid 19?

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.

What sections should be included in a Self Declaration Form Covid 19?

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

What sections are optional to include in a Self Declaration Form Covid 19?

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

What schedules should be included in a Self Declaration Form Covid 19?

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) @ Genie AI | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

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Jurisdiction

Singapore

Publisher

Genie AI

Document Type

Declaration Form

Sector

Compliance

Cost

Free to use
Industries

COVID-19 (Temporary Measures) Act 2020: Primary legislation governing COVID-19 control measures in Singapore, providing legal basis for implementing prevention measures and collecting health declarations

Infectious Diseases Act (Chapter 137): FouNDAtional law for managing infectious diseases in Singapore, including COVID-19 containment and reporting requirements

COVID-19 (Temporary Measures) (Control Order) Regulations 2020: Specific regulations detailing control measures, movement restrictions, and safety requirements during COVID-19

Personal Data Protection Act 2012 (PDPA): Governs the collection, use, and disclosure of personal data, including health information in declaration forms

Workplace Safety and Health Act: Establishes requirements for maintaining workplace safety and health, including disease prevention measures

Ministry of Manpower (MOM) COVID-19 guidelines: Specific workplace guidelines for managing COVID-19 risks and implementing safe management measures

Enterprise Singapore Safe Management Measures: Guidelines for businesses to implement safe management measures and maintain COVID-19 precautions

Healthcare Services Act 2020: Regulates healthcare services and providers, including requirements for health declarations and reporting

National Registry of Diseases Act: Governs the reporting and tracking of specified diseases, including COVID-19 cases

MOH Advisories and Protocols: Official health guidelines and protocols issued by Ministry of Health for COVID-19 management

Multi-Ministry Taskforce Guidelines: Consolidated guidelines from multiple government agencies for comprehensive COVID-19 response

TraceTogether and SafeEntry Requirements: Digital contact tracing and check-in systems requirements for COVID-19 control in Singapore

WHO International Health Regulations: Global health guidelines that influence local COVID-19 measures and declaration requirements

Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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