For more information visit
www.health.tas.gov.au/coronavirus
Protecting yourself and others from coronavirus
Version 2 .1 | 22 March 2020
Tasmanian Arrivals Form
Help us stop the spread of COVID-19 (novel coronavirus)
The State Controller requires you to provide the information below of your travel details and for everyone
travelling in your party. If you are travelling for non-essential purposes, you will be required to go into quarantine
for 14 days. The information below will be used to check on your health over the next 14 days.
Flight number Name of vesselSeat number
If by plane
If by boat/ship
Name
Nationality as shown on passport
Email
Mobile number
Contact details
Signature
Accommodation address for the next 14 days
Date of birth
Day Month Year
Day Month Year
Date of arrival
in Tasmania
Country(ies), States and Territories visited in the past 30 days
Details of travel
Entry point into Tasmania (city)
Day Month Year
Essential Traveller status
Important Information: this section of the form is only required to be completed by those people who have Essential Traveller status.
Please tick a box if you meet the criteria of ‘Essential Traveller’. See end of document for full denitions.
If you do not meet any of the criteria for Essential Traveller, you must quarantine for 14 days.
You can apply for Essential Traveller status. Application Forms are available on the DPIPWE website and from Biosecurity Tasmania sta.
Please provide a short justication for why you meet the above criteria:
National and State
Security and Governance
Health services
Transport, freight
and logistics
Specialist skills
An emergency
service worker
I have an exemption from
the Tasmanian Department
of Primary Industries, Parks
Water and Environment
P2 | Tasmanian Government COVID-19 Response
If you are travelling as a family please provide the names and contact details of each additional family member below:
Additional information if travelling as a family
This information is required under the Emergency Management Act 2006 from all people who have arrived in Tasmania after Friday 20 March
2020 by the State Controller. Failure to provide this information is an oence against the Act and may incur a ne of up to $16,800.00 or
imprisonment for a term not exceeding three months, or both.
Any person that fails to comply with a requirement to quarantine or self-isolate is committing an oence.
This information is collected and will be used subject to the Personal Information Protection Act 2004 (Tas), for the purposes of assisting the
State Controller to exercise powers and perform functions to prevent or control the spread of a notiable disease under the Public Health Act
1997 (Tas), namely the novel coronavirus COVID-19.
Name
Email (Separate contact details not required if traveller is under 18 and travelling with an adult)
Family member details 1
Mobile number
If by plane, seat number
Date of birth
Day Month Year
Name
Email (Separate contact details not required if traveller is under 18 and travelling with an adult)
Family member details 2
Mobile number
If by plane, seat number
Date of birth
Day Month Year
Name
Email (Separate contact details not required if traveller is under 18 and travelling with an adult)
Family member details 3
Mobile number
If by plane, seat number
Date of birth
Day Month Year
Name
Email (Separate contact details not required if traveller is under 18 and travelling with an adult)
Family member details 4
Mobile number
If by plane, seat number
Date of birth
Day Month Year
Name
Email (Separate contact details not required if traveller is under 18 and travelling with an adult)
Family member details 5
Mobile number
If by plane, seat number
Date of birth
Day Month Year
P3 | Tasmanian Government COVID-19 Response
Essential Traveller categories Full denitions list
1. National and State Security and Governance
a. Any Government senior ocial who in the carriage of his or her duties is responsible for the safety of the Nation or Tasmania
against threats such as terrorism, war, or espionage, and is required to be present in Tasmania for such purposes; and
b. Active Military personnel required to be on duty in Tasmania while in Tasmania; and
c. A member of the Commonwealth Parliament who is ordinarily resident in Tasmania.
2. Health Services
a. A clinician in relation to health who is ordinarily resident in Tasmania and who is requested by the Secretary of the
Department of Health, or his or her delegate, to return to Tasmania to present for duty in Tasmania; and
b. A clinician in relation to health who is requested by the Secretary of the Department of Health, or his or her delegate, to
present for duty in Tasmania to perform, during the period in which the person will be present in Tasmania, duties unable to
be appropriately performed by a person ordinarily resident in Tasmania.
3. Transport, freight and logistics
a. Any person who in the carriage of his or her duties is responsible for provision of transport or freight and logistics into,
within and out of Tasmania; and
b. Flight Crew and ship crew-for the purpose of delivery of persons, freight or logistics into, within and out of Tasmania.
4. Specialist skills critical to maintaining key industries or businesses
a. Any specialists required for industry or business continuity and maintenance of competitive operations where the appropriate
skills are not available in Tasmania, where the service is time-critical and where the provision of the service requires that the
person be physically present in Tasmania;
b. Any person who, in the carriage of his or her duties, is responsible, while in Tasmania, for critical maintenance or repair of
infrastructure critical to Tasmania; and
c. Any person travelling from Antarctica directly to Tasmania.
5. Paramedics and ambulance ocers
a. A paramedic, or an ocer of Ambulance Tasmania, each within the meaning of the Ambulance Service Act 1982, who is
returning to Tasmania as soon as practicable after providing medical transport to a patient or who is returning to Tasmania
while providing medical transport to a person; and
b. A paramedic, or an ocer of Ambulance Tasmania, each within the meaning of the Ambulance Service Act 1982, who is
ordinarily resident in Tasmania and who is requested by the Commissioner of Ambulance Services, or his or her delegate,
to return to Tasmania to present for duty in Tasmania.
6. Other persons, or class of persons that are:
Exempted by the Secretary DPIPWE:
a. Any other person, or member of a class of persons, in relation to whom, in the opinion of the Secretary DPIPWE,
self-quarantine would lead to an unusual, undeserved or disproportionate hardship; and
b. Any other person, or member of a class of persons, who, in the opinion of the Secretary DPIPWE, is essential for the proper
functioning of Tasmania.
Assessed on an individual basis via application e.g:
a. Compassionate grounds e.g. a person is travelling to Tasmania to visit a terminally ill relative.
b. Medical grounds e.g. a person who travels to and from Tasmania to receive essential medical treatment on the mainland.
c. Other reasons considered on individual merit.
If your application has not been received and approved by the time you arrive in Tasmania you must begin the mandatory 14 days of
quarantine until your application is approved.
Essential Travellers must still comply with the listed quarantine conditions in the direction made by the Director of Health under
Section 16 of the Public Health Act 1997. These conditions can be found on the Quarantine Conditions for Essential Travellers.
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