medication.
During my quarantine, I agree to:
Use ArriveCAN or call 1-833-641-0343 to confirm that I have arrived at the address I
provided for my quarantine, within 72 hours of arriving.
Use ArriveCAN or call 1-833-641-0343 to complete daily COVID-19 symptom self-assessments
during my quarantine period.
Answer any phone calls from the Government of Canada from 1-888-336-7735.
Not leave my place of quarantine during the 14 days of isolation, except in an emergency, such
as a medical emergency. In the event of an emergency medical consultation, I will notify the
emergency services and healthcare personnel that I am currently in quarantine after arriving
from abroad, and I will follow all their instructions. In addition, I will wear a mask, practice
physical distancing with others as much as possible, and disinfect my hands regularly.
I will Isolate myself from others if I experience COVID-19 symptoms and call the COVID-19
hotline (1-866-797-0000 and 1-833-784-4397) and follow the instructions given.
I will undergo the COVID-19 tests required by the Ontario and federal government.
If I am exempt from quarantine:
I agree to abide by the health measures in place at the local, state and federal level.
I agree to respect the physical distance at all times in public places.
I agree to keep my proof of vaccination during my first 14 days in Canada.
I agree to make a complete list of all persons with whom I will be in close contact for the first 14
days following my arrival in Canada.
In addition, I am aware that:
I could be checked on to make sure I am not breaking my quarantine. I could be moved to a
quarantine facility if I break my quarantine or if I test positive for COVID-19.
I will have to quarantine again for a new 14-day period if COVID-19 symptoms appear during
my quarantine, if I am exposed to COVID-19, or if I test positive for COVID-19.
My quarantine could be longer if the test result from the COVID-19 test conducted on day 8
arrives later than day 14 of my quarantine.
I understand that there are serious consequences for not abiding by quarantine regulations (a
fine of up to $750,000, up to six months of jail time, and, as a foreign resident, being removed
from Canada and banned from entering for one year).
I also understand that failure to abide by quarantine regulations may constitute other criminal
offences.
Name:
Date:
Signature: