Travel Declaration and Contact Tracing Form Lodging

Name of primary guest *

Party Size *

Maximum 4 people per room

Resident of Puerto Rico *

Yes

No

City *

State *

Country *

Date of arrival to Puerto Rico *

Month

Day

Year

Time of arrival to Puerto Rico *

Hour

:

Minute

Flight No. *

All travelers must present a negative molecular test or PCR of COVID-19 whose sample has been taken in a period of three (3) days or 72 hours prior to their arrival together with their boarding ticket or confirmation document of the air ticket where they report. the date of arrival in Puerto Rico. Otherwise, the Registration / Check-In will not be carried out nor will a refund be made for the amount paid for the stay. *

I agree

Hotel / Lodging Property *

Hotel Confirmation No. *

Name of the main guest *

Due to the COVID-19 pandemic, this document constitutes a written consent of the guest to acquire personal and private information about him and his companions about the state of health and body temperature check before and during their stay and / or visit to the facilities. According to the CDC, a result of body temperature of 100.4°F / 38°C or higher is fever. Therefore, it constitutes an imminent risk to the health and safety of the person, those accompanying him, employees, guests and visitors. Therefore, you will not be able to enter and / or remain in the facilities. We reserve the right of admission. *

Guest name # 2

Guest name # 3

Guest name # 4

Have you, or anyone in your party have had the following symptoms? Please circle relevant choices *

Other *

Have you been in contact with anyone confirmed with COVID-19 in the past 14 days? *

Yes

No

Have you been in contact with anyone suspected to have COVID-19 in the past 14 days? *

Yes

No

Have you been to affected countries/regions that are restricted for travel to the United States in the past 14 days? *

Yes

No

If yes, please indicate the affected countries/regions *

Staff Recording Declaration MM/DD/YYYY - HOUR

Travel Declaration and Contact Tracing Form Lodging

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This appendix has been specifically modified for the operation of our hotels.

Please complete and send this declaration 48 hours before the date of your stay.