Atlantic Bubble - Mandatory Declaration Form to Travel to Prince Edward Island

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This document is a declaration made by travelers to abide by COVID-19 public health orders in PEI, to monitor your health closely, and to call 811 if you develop symptoms of COVID-19 after arrival.

For efficient processing, arrive at the PEI entry point with required identification, and BOTH a copy of the preview page (page 3) of this form AND the Submission ID confirming you completed this self-declaration. Visit the PEI Self-Declaration Travel page for more information.


Atlantic Canada address where you have been in the last 14 days (permanent or temporary).

For example C1B 0X1 or 12345
For example 902-555-5555