COVID-19 Self Declaration Template

Free trial

Securely and efficiently collect COVID 19-related confidential, personnel information from employees with this COVID-19 Self Declaration Form Template from Formsite. This self-declaration form can help minimize the spread of the COVID-19 virus at your organization, and help monitor personal circumstances that may lead to infection. All Formsite forms and surveys are protected with our SSL to keep data secure in transit and in storage, so employees can be certain their personal information is secure.

This sample form template collects all the self-declaration data you need, like full name, date of birth, phone number, number of household members, transportation type (personal vehicle, rail or other form of public transport, flight number for air travel, etc.). Need to gather different information? Easily add and remove fields using our drag and drop editor. Include short answer, long answer, drop downs, checkboxes, and calendars for quick data entry and to minimize entry errors.

This, and all Formsite forms, can be easily embedded in a website or shared via email. Form users can securely view this mobile friendly COVID-19 Self Declaration Form Template, fill it out, and submit it right from their own mobile device. All form data can be exported, too, for use in other applications.

Formsite’s easy to use, secure forms are ideal for corporations, self-employed workers, nonprofits, small businesses, educational institutions, and more. For corporations in need of more advanced form functionality, ask about our enterprise level form solutions. Formsite makes it easy to get started creating your own online forms. Try Formsite today!

COVID-19 Self Declaration Form

Why Formsite

The world-class no-code form and survey builder.

Fully-featured and easy-to-use form builder since



of templates to choose from to get you started

$500 million

in payments processed to date


of forms submitted to date


online form integrations

Customer support based in


Thousands of brands trust Formsite

Be the next one.