Passenger COVID-19 Disclosure and Attestation Form
This form is required for passengers arriving in the United States to attest to their COVID-19 testing or recovery status. It helps ensure compliance with federal regulations and protects public health. Completing this form accurately is crucial prior to boarding an aircraft.
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How do I fill this out?
Filling out this form is a vital step for your travel compliance. Make sure you have the necessary information ready, such as your COVID-19 test results or recovery confirmation. Follow the guided options carefully to ensure your attestation is valid.

How to fill out the Passenger COVID-19 Disclosure and Attestation Form?
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1. Gather your COVID-19 test results or recovery documentation.
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2. Indicate whether you have received a negative pre-departure test result.
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3. Alternatively, confirm recovery from COVID-19 within the last 3 months.
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4. If attesting on behalf of another person, have their information ready.
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5. Review all entries for accuracy, sign and date the form.
Who needs the Passenger COVID-19 Disclosure and Attestation Form?
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Travelers aged 2 or older flying into the U.S. must complete this form.
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Parents or guardians attesting on behalf of minors aged 2 to 17.
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Individuals who have recently recovered from COVID-19 traveling to the U.S.
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Healthcare providers must verify travelers' recovery before travel.
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Airline staff requiring compliance with federal COVID-19 regulations.
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Signing the PDF on PrintFriendly is effortless. You can add your signature digitally within moments, ensuring your attestation is valid. It's a hassle-free way to comply with the necessary requirements before your flight.

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Editing this PDF on PrintFriendly is quick and user-friendly. With our editing feature, you can easily modify any details relevant to your COVID-19 status or personal information. Tailor the document according to your needs with our intuitive tools.
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1. Open the PDF on PrintFriendly.
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2. Click on the 'Edit' option on the toolbar.
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3. Modify the text or fields that need to be adjusted.
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4. Save your changes once you are satisfied with the edits.
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What are the instructions for submitting this form?
To submit this form, ensure all information is accurately filled out, then sign and date it. You can send the completed form via email to the designated airline address or present it physically at check-in. Keeping a digital copy for your record is also advisable - always ensure you have it ready prior to your flight.
What are the important dates for this form in 2024 and 2025?
The COVID-19 attestation requirement will continue into 2024 and 2025. It's important to keep updated with CDC guidance for any changes in these regulations. Always check your scheduled flight date to confirm your travel requirements.

What is the purpose of this form?
This form serves as a crucial document for travelers entering the U.S. as part of the public health safety measures against COVID-19. By filling it out, passengers attest to their health status, which helps in preventing the spread of the virus. It is a federal requirement that plays an important role in maintaining safe travel and health protocols.

Tell me about this form and its components and fields line-by-line.

- 1. COVID-19 Test Result: Space for stating the negative test results received within the designated timeframe.
- 2. Recovery Confirmation: Space for confirming recovery and obtaining clearance from a healthcare provider.
- 3. Signature: Space for signing the document to validate the attestations made.
- 4. Date: Field for entering the date of signing the attestation.
What happens if I fail to submit this form?
If this form is not submitted, travelers risk being denied boarding by the airline. The FAA mandates that passengers comply with health regulations and can face additional repercussions if they do not. It's essential to submit the form accurately to ensure safe travel.
- Boarding Denial: Passengers might be denied entry onto the flight which could lead to significant travel delays.
- Legal Penalties: Providing false information may lead to criminal consequences, including fines or imprisonment.
- Health Risks: Failure to comply can endanger the passenger's health and the health of others.
How do I know when to use this form?

- 1. Pre-Departure: Use the form before your flight departure to attest your health status.
- 2. For Minors: Parents or legal guardians fill out this form for children traveling with them.
- 3. COVID-19 Recovery: Individuals who have recovered from COVID-19 need to attest to their recovery status.
Frequently Asked Questions
What is the purpose of this form?
This form is for passengers to attest either a negative COVID-19 test result or recovery before boarding a flight to the U.S.
Who needs to fill out this form?
All passengers aged 2 years and older traveling to the United States must complete this form.
How can I edit this PDF?
Using PrintFriendly's editing feature, you can easily modify any text or details in the PDF.
Is signing the PDF required?
Yes, signing the PDF is necessary to validate your attestation.
How do I share this PDF?
You can share the PDF via email or through a direct link from PrintFriendly.
What happens if I don't fill this out?
Failure to submit this form may prevent you from boarding your flight.
Can I attest on behalf of someone else?
Yes, a parent or guardian can attest for travelers aged 2 to 17.
What if I recovered from COVID-19?
You can attest to your recovery provided you have appropriate documentation.
Where can I download the filled form?
You can download the filled form directly after completing it on PrintFriendly.
Are there deadlines for this form?
It’s best to complete this form at least 1-3 days prior to your flight.
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