HEALTH DECLARATION FORM

LOOK: Here is a downloadable HEALTH DECLARATION FORM that will facilitate your entry and exit in the Province of La Union.

Checkpoints are in Sudipen, Burgos, Tubao, Pugo, Damortis (Santo Tomas) and Rosario, La Union where you will undergo thermal scanning and medical screening through this form.

For faster transaction, kindly download, print and fill-out this form and present to the checkpoint personnel in said entrances/ exits.

This can be used by authorized persons indicated in the guidelines for enhanced community quarantine for Luzon.
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Contact Information

TELEPHONE:

072-607-3088
Municipality of Sudipen Poblacion, Sudipen, La Union, 2520 Philippines

Emergency Hotlines

Mayors Office: 607-3088
MDRRMO:

607-0531
0939-968-8330
0948-776-8670

PNP:

0998-598-5173
0999-570-0863

BFP:

603-0451
0918-491-9715

MHO:

607-2351
0915-394-2818

MSWDO:

607-4487
0921-765-5523

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