About this template
A passenger self-reporting form is essential for travel agencies, airlines, and airport authorities to monitor health and safety following journeys. Passengers can use this template to log crucial travel details, origin points, destinations, seat numbers, and any symptoms they may be experiencing in a secure, digital format.
Doc2Form transforms this critical health reporting template into an easy-to-use Google Form, making it simple to collect, review, and organize health declarations across any device. Whether you are managing commercial flights, private charters, or group travel logistics, having an organized digital log helps maintain safety standards and streamline compliance tracking without relying on cumbersome paper logs.
Key features
- Collect passenger details and flight numbers instantly
- Track symptom status and recent travel history seamlessly
- Gather arrival dates and seat assignments for contact tracing
- Access all passenger submissions securely in Google Sheets
- Mobile-friendly format for quick reporting on the go
Use cases
- Post-flight health and symptom declarations for commercial airlines
- Travel agency risk management and safety compliance monitoring
- Airport authority health screening and arrival logging
- Charter flight passenger manifests and health check-ins
What this form collects
- Full Name (Short answer)Enter your first and last name as shown on your travel ID.
- Email Address (Short answer)Where can we reach you if we need to follow up regarding your report?
- Phone Number (Short answer)Include your country code if traveling internationally.
- Current Residential Address (Paragraph)Enter your current home address or temporary accommodation address.
- Date of Arrival (Date)Select the date you arrived at your final destination.
- Flight Number / Vessel ID (Short answer)E.g., UA123 or Flight 405.
- Seat Number (Short answer)Enter your specific seat or cabin number.
- Port of Origin of Journey (Short answer)Name the city and airport where your journey began.
- Port of Final Destination (Short answer)Name the city and airport where your journey ended.
- Last 14 Days Travel Details (Paragraph)List any other cities, regions, or countries you visited in the two weeks prior to your flight.
- Are you currently experiencing any symptoms? (Multiple choice)Select your current symptom status.
- Please describe your symptoms if applicable (Paragraph)Include details such as fever, cough, fatigue, or shortness of breath and when they started.
- Passenger Signature (Short answer)Please type your full legal name here to certify that the information provided above is true and correct to the best of your knowledge.
FAQ
How do I share this form with passengers?
Once Doc2Form generates your Google Form, you can share it via a direct link, QR code on boarding passes, or email notification before or after arrival.
Can I customize the questions on this template?
Yes! Because the form lives in your Google Drive, you can easily add, remove, or modify any questions using the standard Google Forms editor.
Where are the passenger submissions stored?
All responses are saved directly to your Google Form and can be automatically linked to a Google Sheet for real-time tracking and data export.
Is this form template free to use?
Yes, Doc2Form lets you instantly convert this template into a fully functioning Google Form at no cost.
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.