✓ The following people also normally reside where I will be quarantining or they are
travelling with me.
They are not vulnerable individuals,
they do not provide care for
vulnerable individuals, and they are not health care workers. In addition, I will have my
own bedroom that is separate from those used by people who have not travelled with
me. [If other people will be in the same place, give the names, ages, and health of those
When I leave the government-authorized hotel, I will go directly to my place of
quarantine using this means of
[Please also have with you proof of this,
such as the telephone number of a
taxi company, a message from someone confirming
that they will be picking you up if they live where you will be quarantining, proof
transportation provided by your hotel, a plane ticket for a domestic flight, etc.]:
I have (or My place of quarantine has) the necessities of life [Give more details, such as
soap, towels, sheets, toilet paper, thermometer, mask, etc.]:
I will arrange food supplies without leaving my place of quarantine as follows [Give
details about hotel food service options,
grocery stores, and/or restaurants near
your place of quarantine with delivery services
(business names), etc.]:
No other scenarios are allowed.
They do not have any underlying medical conditions that would make them susceptible to COVID-19
complications. They do not have a weak immune system due to any health problems or medical treatment.
Also, they are not 65 years of age or older.
Use private transportation if possible, such as the shuttle service some hotels offer, a taxi or a private car. If
it's not possible, you can board a domestic flight or take intercity transportation (bus or train) to get from one
quarantine location to another. However, you must use private transportation, such as a taxi, to get to and
from the airports or stations.