About this template
This Passenger Disclosure and Attestation form is designed for airlines, charter operators, and travel agencies to streamline the collection of mandatory health declarations from international passengers. By using this digital template, operators can ensure they meet regulatory requirements for passenger screening before boarding, replacing manual paper-based processes with a secure, cloud-based workflow.
The form captures essential passenger identification, travel details, and formal legal attestations regarding health status. It is structured to provide clear, actionable data that can be easily exported for compliance reporting. Using Doc2Form, you can deploy this template instantly, allowing passengers to submit their information from any device, ensuring a smoother check-in experience and reducing administrative bottlenecks at the gate.
Key features
- Standardized fields for passenger identification and health status.
- Mobile-friendly design for easy completion at the airport.
- Automatic timestamping for audit and compliance tracking.
- Seamless integration with Google Sheets for centralized record-keeping.
- Clear, legally-focused language to ensure passenger understanding.
Use cases
- International flight check-in procedures.
- Private charter passenger health screening.
- Airline regulatory compliance audits.
- Pre-boarding documentation verification.
What this form collects
- Passenger Full Name (Short answer)Enter your full name as it appears on your passport or travel documents.
- Passport Number (Short answer)Enter your passport number for identification verification.
- Date of Travel (Date)Select your scheduled date of departure.
- Health Attestation (Multiple choice)I hereby attest that the information provided regarding my health status is true and accurate to the best of my knowledge.
- Electronic Signature (Short answer)Please type your full name here to serve as your electronic signature for this attestation.
FAQ
Is this form compliant with current travel regulations?
This template is designed to collect the necessary information for standard passenger disclosures. We recommend verifying specific, up-to-date requirements with your local aviation authority or the CDC as regulations can change.
Can I add my airline's branding to this form?
Yes, once you import this template into your Google Forms account, you can customize the header image, colors, and fonts to match your company's branding.
How do I store the submitted passenger data?
All submissions are automatically saved to your linked Google Sheet. You can then manage, filter, and export this data as needed for your internal records.
Can passengers sign this form electronically?
Google Forms supports text-based signatures. You can add a short answer field for the passenger to type their full name as a formal attestation of their signature.
Get this form in your Google Drive
Save a copy to your Google Drive with one click (uses 1 credit). Or build from a PDF or description in the app.