Entry Questionnaire Form

Entry Questionnaire for Arrivals

Flight Information

St Helena Entry Requirements

St Helena no longer requires a negative PCR test result prior to travel to the Island. Please note that South African authorities require a negative PCR test result from persons who are not fully vaccinated when entering South Africa. 

Home quarantine for vaccinated arrivals 7 days/unvaccinated arrivals 10 days in a property deemed appropriate for quarantine by the local authorities in accordance with Regulation 4(1) of the Public Health (Prevention of Formidable Diseases) (Coronavirus No. 2) (Amendment No. 2) Regulations, 2021

If a group of  persons quarantining together in the same location is made up of  vaccinated and  unvaccinated persons all of the  persons in the group will be required to quarantine for 10 days.

A COVID test on arrival and at the end of quarantine.

A COVID-19 PCR test will be carried out at Day 6/9 (dependent on the quarantine period being undertaken). Results will be available within 24 hours.

Location of your quarantine

You may propose your own home, a property which friends or family are willing to loan to you at your own expense or a property you are willing to rent privately at your own expense.

The purpose of this questionnaire is to enable proper officers to establish if the property is suitable. If suitable you or your nominated person will be expected to display the appropriate signage at the property, this can be collected from the Environmental Heath Team before arrival or issued on arrival at the airport.

A proper officer will ensure the property you identified to quarantine is fit for purpose.

It is anticipated that all passengers will home quarantine. This means that you must remain in isolation at an approved property and avoid mixing with the community.

Any property that you intend to quarantine in on St Helena must be unoccupied unless you are considering a bubbling arrangement.

Asymptomatic and mild cases of COVID-19 will be managed in home quarantine but should there be more serious cases of COVID-19, these will be transferred to the medical treatment facilities at Bradley’s Camp for monitoring and treatment.

In order to make the necessary arrangements for your quarantine you must complete all questions within this questionnaire.

Breaches or attempted breaches

A breach or attempted breach of isolation is a criminal offence contrary to Regulation 8 of the Public Health (Prevention of Formidable Diseases) (Coronavirus No. 2) Regulations, 2020.

The maximum penalty is a fine of £5,000 or imprisonment for 6 months or both. However, if at the time of committing the offence an individual is aware that (s)he is infected with coronavirus, the maximum period of imprisonment is increased to 12 months.

Seeking assistance during quarantine

If you are feeling unwell during quarantine or if you develop symptoms consistent with COVID-19 you should call telephone number 25818/25911.

If further information is required you may contact the COVID-19 Co-ordinator, via email: grace.richards@sainthelena.gov.sh.


Agreement

Personal Information (Primary Contact)

Full Name
Full Name
First
Last
Current Address (outside of St Helena)

Next of Kin Details

Full Name
Full Name
First
Last
Address

COVID Vaccination

Everyone copes with quarantine differently. Which of these statements most describes you?
Please note that this question is merely intended to help us to help you during quarantine.
Are you travelling with anyone else quarantining in same accommodation on St Helena with you?

Additional Visitors

Full Name
Full Name
First
Last
Everyone copes with quarantine differently. Which of these statements most describes you?
Please note that this question is merely intended to help us to help you during quarantine.

Quarantine Accommodation

Has this property been approved for quarantine before?
Do you have sole access to the entry to the property?
To ensure this property is served with the basic amenities to aid your quarantine, does it have the following?
Is there sufficient room in property to self-isolate?
Is this property easily accessible by vehicle in case of emergency?
Do you have your own transport to your designated quarantine place of stay?
You will be transported via the bus at a cost.
Can this transport be dropped to the airport before you arrive?
There should be no physical contact made with the person delivering the vehicle.
Is the property currently unoccupied?
Have the current residents agreed to either:

On Island Contact

On island contact (landlord/ other) to prepare your property for use prior to your arrival.

(This person should be the nominated contact for any business whilst you’re in quarantine such as food/medical supplies etc. – Ideally the property should be equipped with food supplies, cleaning materials, waste bags etc. for the 10 day period.)

Contact Name
Contact Name
First
Last
Phone Number Format: 00290XXXXX

Bubbling Arrangement

Quarantine Bubble arrangements allow persons arriving to St Helena to have persons join them at the same property for the mandatory quarantine period. The person/s joining quarantine could be those who are travelling to St Helena at the same time or persons who were already on-Island.

Persons who choose to enter the Quarantine Bubble voluntarily, must understand that they do so at their own risk

Are you planing on entering a bubbling arrangement?
Who are you bubbling with?

On-Island Bubble Details

Full Name
Full Name
First
Last

Additional Medical Details

Are you returning from Medical Referral?
Do you have a disability?
Do you have a health or disability reason that would prevent you from wearing a face mask?
Do you require assistance for your mobility?
Are you currently pregnant?
If you are currently taking any medication, do you have enough for your period of isolation days of isolation?