COVID-19 Health Declaration for passengers

Your Full Name

When did you arrive in WA (if within the past 28 days)?

What states or countries have you been in during the past 28 days?

If you have only been in WA please write in "WA Only"

Do you feel unwell or have any symptoms of COVID-19?

Symptoms can include dry cough, high temperature, shortness of breath, sore throat, loss or taste or smell

If you have any symptoms please provide details:

Have you been in contact with someone who has been positive tested with COVID or is symptomatic in the last 14 days?