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St Peter Port & St Sampson
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weather iconCloudy with a few showers, perhaps heavy at times, becoming mainly sunny later.
High18°CLow11°C
5 day forecastTide timetables
weather iconCloudy with a few showers, perhaps heavy at times, becoming mainly sunny later.
High18°CLow11°C
5 day forecastTide timetables
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Notification of Individuals Self-Isolating Together form

  1. Please use the form below to tell us if you are self-isolating
    1. Details of travellers and non-travellers you are self-isolating with. Please fill in as many boxes as there are people:
    2. Traveller
    3. Traveller
    4. Traveller
    5. Traveller
    6. Traveller
    7. Traveller
    8. Traveller
    9. Traveller
    10. Declaration: I confirm that I have provided true and accurate information, and that I understand that a person who has provided false or misleading information may be prosecuted and, if convicted, be sentenced to pay a fine of up to £10,000.I also confirm that I have advised the individuals whose details are provided on this form.
    11. The States of Guernsey, the States of Alderney and the Chief Pleas of Sark, and any of their Committees, (where relevant) may process your data for the purpose of testing, prevention, control and mitigation of the risks to life and public health posed by the disease COVID-19. Each area of the organisation will require a different level of information about you, but all will use the minimum necessary to do what they are required to. Further information about how your personal data is processed in relation to the COVID 19 pandemic by the States of Guernsey can be found here or alternatively a hard copy can be requested.
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