As part of COVID-19 health and safety measures, you are required by the Philippine Government to complete this form and declare any sickness or illness, disclose your travel history, and provide information that will aid in contract tracing, should the need arise. Be sure that the information you give is accurate and complete. All the information submitted shall be handled and used only in compliance with Philippine law, regulations, and ordinances, in relation to business operations during the COVID-19 pandemic. False or misleading statements is punishable under Philippine law and under the laws of states or countries that have jurisdiction over you.