Entry Statement

The form must be completed before boarding the flight or the cruise to Israel, or entering through the Israeli border crossing. Note: If the cruise departs from and returns to Israel, the statement should be filled as an exit statement before departing Israel.

  • Personal Information

    You can also fill out this form on behalf of your spouse or children who have visited the same countries as you have in the last 14 days

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Arrival in Israel

Select your travel option

Personal information

Enter the details exactly as on your passport. You can add your spouse or children who have stayed abroad with you in the end

Fields marked with an asterisk are required *

Itinerary

Fields marked with an asterisk are required *

Arrival in Israel

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Add another country you transit through
Add another country you have visited

Health declaration

Select one of the options according to the explanation below, and then confirm the statement

Vaccination or Recovery Information

Those recognized in Israel as vaccinated or recovered and enter the details of the vaccine or recovery here - will be exempt from isolation in case of close contact with a confirmed COVID case household member. Those who do not want to provide the information or who are not vaccinated or recovered - can choose "Other".

Add a dose of the vaccine

Add date of recovery

Do you have a vaccination or recovery certificate?

If Israel verifies your vaccine or recovery, you will be released from isolation in case of exposure to a confirmed COVID-19 household member in Israel.
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A vaccination certificate must be attached

Upload a PDF file of the certificate, or photograph the QR code and upload the photo as a Jpeg file, or scan the QR code.

  1. I am not a confirmed COVID-19 case or I am no longer sick, and I am eligible for a certificate of recovery according to Israeli protocol.
  2. For those not considered vaccinated or recovered according to Israeli protocol: In the last 14 days, I have not been exposed to a confirmed case, and if I have, I have received a negative result on a supervised rapid antigen test or a PCR test, starting from day 5 after the last contact with the confirmed case.

  3. In the last 7 days, I have not experienced fever over 38 degrees, coughing or difficulty breathing, and if such symptoms appeared I have received a negative result on a supervised rapid antigen test or a PCR test.

  4. If I, or anyone traveling with me, must enter isolation, I will isolate in an accommodation at my disposal.
    Information on isolation upon arriving Israel
  5. I acknowledge that a false statement may be used as evidence against me in criminal proceedings.
  6. I hereby commit to not enter Israel, if there is a change to one of the statements in this form.

*Sections 1-3 below do not apply to passengers on cruises with less than 500 passengers and crew, and to passengers on cruises departing from and returning to Israel after less than 72 hours:

  1. I am not a confirmed COVID-19 case or I am no longer sick, and I am eligible for a certificate of recovery according to Israeli protocol.

  2. For those not considered vaccinated or recovered according to the Israeli protocol: In the last 14 days, I have not been exposed to a confirmed case, and if I have, I have received a negative result on a supervised rapid antigen test or a PCR test, starting from day 5 after the last contact with the confirmed case.

  3.  In the last 7 days, I have not experienced fever over 38 degrees, coughing or difficulty breathing, and if such symptoms appeared I have received a negative result on a supervised rapid antigen test or a PCR test.
  4. If I, or anyone traveling with me, must enter isolation, I will isolate in an accommodation at my disposal.
    Information on isolation upon arriving Israel
  5. I acknowledge that a false statement may be used as evidence against me in criminal proceedings.
  6. I will not board a cruise leaving or entering Israel, if there is a change to one of the statements in this form.
  1. If I, or anyone traveling with me, must enter isolation, I will isolate in an accommodation at my disposal.
    Information on isolation upon arriving Israel
  2. I acknowledge that a false statement may be used as evidence against me in criminal proceedings.
  1.  I am not a confirmed COVID-19 case or I am no longer sick, and I am eligible for a certificate of recovery according to Israeli protocol.
  2. For those not considered vaccinated or recovered according to Israeli protocol: In the last 14 days, I have not been exposed to a confirmed case, and if I have, I have received a negative result on a supervised rapid antigen test or a PCR test, starting from day 5 after the last contact with the confirmed case.

  3.  In the last 7 days, I have not experienced fever over 38 degrees, coughing or difficulty breathing, and if such symptoms appeared I have received a negative result on a supervised rapid antigen test or a PCR test.

  4. If I, or the people traveling with me, must enter isolation, we will isolate in an accommodation at my disposal.
    Information on isolation upon arriving Israel
  5. I acknowledge that a false statement may be used as evidence against me in criminal proceedings.
  6. I will not enter Israel, if there is a change to one of the statements in this form.
  1. I am not a confirmed COVID-19 case or I am no longer sick, and I am eligible for a certificate of recovery according to Israeli protocol.

    *Sections 2 and 3 below do not apply to passengers on cruises with less than 500 passengers and crew, and do not apply to passengers on cruises departing from and returning to Israel after less than 72 hours:

  2. For those not considered vaccinated  or recovered according to Israeli protocol: In the last 14 days, I have not been exposed to a confirmed case, and if I have, I have received a negative result on a supervised rapid antigen test or a PCR test, starting from day 5 after the last contact with the confirmed case.
  3. In the last 7 days, I have not experienced fever over 38 degrees, coughing or difficulty breathing, and if such symptoms appeared I have received a negative result on a supervised rapid antigen test or a PCR test.
  4. If I, or the people traveling with me, must enter isolation, we will isolate in an accommodation at my disposal.
    Information on isolation upon arriving Israel
  5. I acknowledge that a false statement may be used as evidence against me in criminal proceedings.
  6. I will not board a cruise leaving or entering Israel, if there is a change to one of the statements in this form.
  1. I am not a confirmed COVID-19 case or I am no longer sick, and I am eligible for a a certificate of recovery according to Israeli protocol.
  2. If I, or the people traveling with me, must enter isolation, we will isolate in an accommodation at my disposal.
    Information on isolation upon arriving Israel >
  3. I acknowledge that a false statement may be used as evidence against me in criminal proceedings.
  4. I will not enter Israel, if there is a change to one of the statements in this form.
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I acknowledge that holding a health insurance policy with coverage for the treatment of COVID-19 for the duration of my visit to Israel is mandatory to enter Israel; 
or 
I am a temporary resident with an A/1, A/2, A/3, A/4, A/5 visa or a B/1 visa who receives medical insurance through my employer; 
or 
I will arrive in Israel from Ukraine (directly or with a transit flight) during the war.

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  • Isolate in a proper place or a managed isolation facility until my recovery;
  • Pay for the expenses of an ambulance to bring me to the place of isolation;
  • Pay for my stay in the place of isolation.

I am aware that these are the conditions for my entry into Israel, and I accept them. I am aware that violating these conditions may lead to revocation of my permission to be in Israel or refusal of future entry into Israel for up to five years.

Confirm the declaration

This form does not constitute a permit to enter Israel. The decision regarding entry into Israel is in accordance with the discretion and procedures of the Population and Immigration Authority.

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I understand that to be allowed to go into isolation at home requires my consent to be electronically tracked as specified in the Terms of Use listed here.

I have read the Terms of Use provided, and I acknowledge that, if I do not accept the Terms of Use, I will be required to undergo isolation in a state managed facility.

I give my consent to be electronically tracked during my isolation.

My consent applies to my children over 14 years of age reported herein, who are required to undergo isolation with technological supervision.

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You can add family members (spouse and children) who stayed with you abroad in the same locations and on the same dates.


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