Fill in your Passenger Locator Card

Assist the Portuguese public health authorities to trace passengers who may have been exposed to COVID-19.

The information you provide will assist the Portuguese public health authorities to trace passengers who may have been exposed to COVID-19. The information is intended to be held by the Portuguese public health authorities in accordance with applicable law and to be used only for public health purposes.

All fields are mandatory. The form can be submitted within 4 days prior to arrival in Portugal. Once submitted, you will receive a notification that you should keep with you, digitally or printed, during your trip.

For further information see Joint Guideline no 001/2020, dated 02.10.2020, for the operationalization of the Passenger Locator Card (PLC)

Flight Information

Airline

Other

Flight number

check the flight number on your boarding pass

Seat number

where you actually sat on the aircraft

Date of arrival

Time of arrival

Coming from

Going to

Personal Information

Are you a crew member?

Yes

Full name (first name followed by family name(s))

Identification document

Number of document

Date of birth

Gender

Address in Portugal (Street name, door number, floor, apartment)

City in Portugal

Postal Code in Portugal

Mobile phone number (please include country code if applicable)

Email Address

Permanent address is the same as above

Permanent address (if not Portugal)

City and State/Province

Country

ZIP/Postal code

Emergency contact information

Contact information of the person who will easily reach you in the next 15 days, in case of emergency.
This must NOT be yourself.

Full name

Mobile phone number (please include country code if applicable)

I understand this form and the Directorate-General of Health, as the owner of the data, comply with the GDPR and the Portuguese Law 58/2019, from August 8th, and the data is retained for 15 days after the flight date, after which will be deleted.

Please fill according to the image

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