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HHS Attachment A Combined Passenger Disclosure and Attestation to the United States of America free printable template

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ATTACHMENT A PASSENGER DISCLOSURE AND ATTESTATION TO THE UNITED STATES OF AMERICA All airlines covered by the Order must provide the following disclosure to passengers and collect the attestation prior to embarkation. AIRLINE DISCLOSURE REQUIREMENT As required by United States federal law all airlines are required to confirm a negative COVID19 test result and collect a passenger attestation on behalf of the U.S. Centers for Disease Control and Prevention CDC for certain passengers on aircraft...
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How to fill out HHS Attachment A Combined Passenger Disclosure and Attestation

01
Obtain HHS Attachment A Combined Passenger Disclosure and Attestation form from the appropriate source.
02
Read the instructions carefully to understand the required information.
03
Fill in your personal details, including your name, contact information, and travel details.
04
Provide any necessary health information as requested in the form.
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Sign and date the form to verify the information is accurate.
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Submit the completed form according to the provided guidelines.

Who needs HHS Attachment A Combined Passenger Disclosure and Attestation?

01
Travelers on flights covered under the HHS regulations.
02
Individuals who are required to disclose health-related information as part of travel protocols.
03
Passengers who are attending events or activities requiring disclosure for public health purposes.
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People Also Ask about us attestation form

One attestation form must be filled out for each passenger age 2 years or older who is not a U.S. citizen, U.S. national, lawful permanent resident, or an immigrant (“Covered Individual”), and who is seeking to enter the United States by air travel.
All passengers travelling to the US are required by the US authorities to carry a printed version of the "Combined Passenger Disclosure and Attestation Form" with them. Please ensure that you can show the certificate at any time if required.
One attestation form must be filled out for each passenger age 2 years or older who is not a U.S. citizen, U.S. national, lawful permanent resident, or an immigrant (“Covered Individual”), and who is seeking to enter the United States by air travel.
Apply for the United States Attestation Form at the airport Doing so will help you avoid check-in lines, which can then let you spend more time relaxing and preparing for your flight.
You can just hand it in as you get ready to board the plane, if they haven't requested them before that time. You may not be able to do OLCI and print your boarding passes in advance, as your documents may need to be checked at the airport and you will get your boarding passes there.
Print and complete the attestation forms and bring them to the airport.
The United States Attestation Form is available to complete your flight in advance. Airlines offer electronic attestation, and partner apps such as VeriFLY can also allow you to submit your form in advance.
※ Forms may be available at the check-in counter on the day of departure. However, we recommend customers to print and fill out the forms in advance for a smoother check-in process at the airport.
This Amended Order went into effect for flights departing to the US from a foreign country at or after 12:01am EST (5:01am GMT) on December 6, 2021, and was published in the Federal Register on December 7, 2021. This Order and attestation will no longer be in effect as of 12:01am ET [4:01am GMT], June 12, 2022.
However, we recommend customers to print and fill out the forms in advance for a smoother check-in process at the airport. ※ As of June 12, 2022, the United States does not require customers to provide a COVID-19 negative test result prior to travel.
Under United States federal law, the applicable portion of the attestation must be completed for each passenger age two or older and the attestation must be provided to the airline or aircraft operator prior to boarding a flight to the United States from a foreign country.
※ Forms may be available at the check-in counter on the day of departure. However, we recommend customers to print and fill out the forms in advance for a smoother check-in process at the airport.
Passenger attestation to enter the U.S. The U.S. government requires all non-U.S. citizens flying to the U.S. to complete the Center for Disease Control and Prevention (CDC) attestation confirming they meet the vaccination entry requirements.
Apply for the United States Attestation Form at the airport Doing so will help you avoid check-in lines, which can then let you spend more time relaxing and preparing for your flight.
Under United States federal law, the applicable portion of the attestation must be completed for each passenger age two or older and the attestation must be provided to the airline or aircraft operator prior to boarding a flight to the United States from a foreign country.
Under United States federal law, the applicable portion of the attestation must be completed for each passenger age two or older and the attestation must be provided to the airline or aircraft operator prior to boarding a flight to the United States from a foreign country.

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HHS Attachment A Combined Passenger Disclosure and Attestation is a form required by the U.S. Department of Health and Human Services (HHS) for travelers to disclose their health status and any potential exposure to communicable diseases.
All travelers arriving in the United States from certain foreign countries are required to file HHS Attachment A Combined Passenger Disclosure and Attestation.
To fill out HHS Attachment A, travelers must provide personal information including their name, contact details, travel history in the past 14 days, health status, and any exposure to COVID-19 or other communicable diseases.
The purpose of HHS Attachment A is to monitor and control the spread of communicable diseases through air travel by collecting health-related information from travelers.
Travelers must report personal identification details, contact information, flight details, recent travel history, health status, and any known exposures to COVID-19 or other communicable diseases.
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