Maritime Declaration of Health

Maritime declaration of health (MDoH) to be completed by any vessel arriving from international voyage, on submission of the electronic form will be submitted to Cornwall Port Health Authority.

Instructions to Masters

Public Health (Ships) Regulations 1979

The Public Health (Ships)(Amendment)(England) Regulations 2007

Maritime Declaration of Health form

About the ship

Submitted at the port of

Date

Name of ship / vessel

Ship / vessel's email address

Registration / IMO no.

Arriving from

Sailing to

Nationality/flag

Master's name

Gross tonnage

Net tonnage

Valid Sanitation Control Exemption/Control Certificate carried on board?

Yes

Date of certificate

Issued at

Re-inspection required?

Yes

Port

Date of visit

Has ship/vessel visited an affected or high risk area identified by the World Health Organization?

Yes

Number of crew members on board

Number of passengers on board

Any pets on board

Yes

Data Protection

All data collected will be processed in accordance with the Public Health (Control of Disease) Act 1984, and Public Health (Ships) Regulations 1979. It will be used for the enforcement of provisions within those statutory instruments. Your data will be held within Cornwall Council’s secure network and premises and will not be processed outside of the UK/the EEA. Access to your information will only be made to authorised members of staff who are required to process it for the purposes outlined in this privacy notice, however the council is under a duty to release information held for certain law enforcement purposes. Read our full Privacy Policy

Last Updated:

25/05/2022

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Cornwall Port Health Authority
Port Health Office
The Docks
Falmouth
Cornwall
TR11 4NR
01872 323090
porthealth@cornwall.gov.uk