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PO Box 256, Koror, PW 96940
The information bellow must be completed by all person Entering Palau. Print the Answer to all questions In blue or black ink.
Palau Residents fill out blackside only
Do you have any of the following symptoms, or have you, in the past 14 days?
If you have any of these symptoms, and have a travel history of visiting areas with wide-spread
transmission of COVID-19, please call the Emergency Room (ER) of the Belau National Hospital
at (tel): 488-2558
The information on this side must be completed by all individuals entering Palau. One form per person. Answer all questions below truthfully. If you make a false declaration or present false documentation, items may be seized and you will be subject to criminal penalties. If in doubt please ask any CUSTOMS or BIOSECURITY Officer for assistance.
How many bags do you have?
Declare if you are bringing:
Traveler's Allowance (Airline Passengers)
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