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An autonomous, prosperous and sustainable community and council

Essential Workers

Important Information
To help protect our communities from the spread of COVID-19 (Coronavirus), from 11:59pm Monday 06/04/2020, travel restrictions are in place for those travelling to, from and within the Torres Strait Island Regional Council (TSIRC) local government area, this includes the islands of Boigu (Talbot Is.), Dauan (Mt. Cornwallis Is.), Saibai, Mabuiag (Jervis Is.), Badu (Mulgrave Is.), Arkai (Kubin) and Wug (St. Pauls) Communities on Mua (Moa Is.), Kirirri (Hammond Is.) Iama (Yam Is.), Warraber (Sue Is.), Poruma (Coconut Is.), Masig (Yorke Is.), Ugar (Stephen Is.), Erub (Darnley Is.) and Mer (Murray Is.).
If your final destination is to or within the islands of Waiben (Thursday Is.), Ngurupai (Horn Is.), Muralag (Prince of Wales Is.), or Gealug (Friday Is.), please do not fill out this form and instead contact the Torres Shire Council: www.torres.qld.gov.au
If you have any questions or require assistance with this form, please contact our Coronavirus Hotline team by calling: 07 4034 5790 or emailing: coronavirus@tsirc.qld.gov.au (9am to 5pm, Monday-Friday).
SECTION ONE - TRAVEL EXCEPTION
Select your exception type: This field is required.
Provide a brief explanation of exemption type or reason for travel in the box below.
SECTION TWO - DETAILS OF TRAVEL
Where will you enter the Torres Strait Region? (ie. Horn Island Airport) - If you are already located within the region, list your departure location here.
Where will you commence your journey? (ie. Where are you travelling from)
Arriving by: This field is required.
SECTION THREE - DESTINATION
NOTE: If you are travelling to multiple communities - Click the "Add Destination" button to enter additional locations.
Final destination*Date of arrival*Date of departure*Address of local residence or accomodation*
SECTION FOUR - CONTACT DETAILS
SECTION FIVE - TRAVELLER DETAILS
NOTE: If you are travelling as a group or wish to add multiple employees - Click the "Add Person" button to enter additional people. The "Address of residence or accomodation" field below must be the place where the person resides for the 14-days immediately prior to departure.
Full name*Date of birth*Occupation/title*Address of residence or accomodation*Undertaken a monitored 14-day isolation period?*
SECTION SIX - HEALTH & TRAVEL HISTORY
Within the last 14 days; Have any of the travellers listed above had any fever, cough, shortness of breath, or sore throat symptoms? This field is required.
Within the last 14 days; Have any of the travellers listed above had any interaction with a person known to have contracted COVID-19? This field is required.
Within the last 14 days; Have any of the travellers listed above travelled outside Australia? This field is required.
Within the last 14 days; Have any of the travellers listed above travelled to a place listed as a COVID-19 hotspot? This field is required.
Visit www.qld.gov.au/health for current list of hotspots.
SECTION SEVEN - DECLARATION
The information I have provided in this form is true and correct. I acknowledge that providing false information is a serious offence under Public Health Acts and Regulations which may render me liable to criminal prosecution. Penalties upon conviction include a fine of up to $65,000 or 5 years imprisonment or both.
The collection of this information is authorised by the Public Health Act 2005 (Qld). The information will be used for the administration and enforcement of the Public Health Act 2005. The Torres Strait Island Regional Council (TSIRC) may disclose some or all of this information to State and Federal Government agencies as authorised or required by legislation or in accordance with the Information Privacy Act 2009 (Qld).