Application for classification as a specified person (Form 2)
'Any other person, or member of a class of persons'
IN RELATION TO STATE OF EMERGENCY – COVID-19
Item 6b of 'Schedule Specified Persons'
6. Other persons, or class of persons, exempted by the State Controller.
b. Any other person, or member of a class of persons, who, in the opinion of the State Controller, is essential for the proper functioning of Tasmania.
- You are required to isolate yourself in accordance with the Authorisation of emergency powers issued by the State Controller under section 40 of the
Emergency Management Act 2006 – in Relation to State of Emergency COVID-19 until such time that you are advised by the State Controller that an exemption has been granted for your application under Item 6 of the 'Schedule Specified Persons'.
- Applications for exemption under Item 6 of the Schedule can be made using one of the following methods:
- Hand your completed form to a Biosecurity Officer on your arrival to Tasmania, for forwarding to the
State Controller for assessment.
- Email your completed form to
- Lodge Online.
- A separate application is required for each individual, including children (if applicable).
Contacting you about the Decision
You will receive a letter from the
State Controller advising you of the outcome of your application.
Please complete the form below,
outlining the reasons you believe you should be classed as a Specified Person.
Please provide documentation, eg a letter from your employer or client in Tasmania, to support your application, evidencing how you meet the criteria above. Incomplete applications or applications that do not have the required supporting documentation attached will be delayed in processing.
* required fields *
I hereby apply for an exemption to the requirement to isolate myself for 14 days on entry to Tasmania as required by the Authorisation under section 40 of the Emergency Management Act 2006 - in Relation to State of Emergency COVID-19.
Are you an Australian citizen as show on passport? *
If you aren't an Australian citizen please list your nationality as shown on your passport
Please provide your phone number in case we need to contact you.
Your accommodation address for the next 14 days
If same as above leave blank
Please provide a short justification for why you meet the criteria aboveSupporting Documentation
Please provide documentation to support your application using the file upload at the bottom of the form, evidencing how you meet the criteria above. Incomplete applications or applications that do not have the required supporting documentation attached will be delayed in processing.
List the countries, states & territories you have visited in the past 30 days.
Are you travelling alone?
We will aim to advise you at the same time
What was your entry point into Tasmania?
If by plane, your flight number
If by plane, your seat number
If by boat or ship - name of vessel
* You must agree that the information provided is correct to submit the form.
Upload a file here (Total file size limit is: 5MB).
Only image(.jpg, .tiff, .png), plain text (.txt), Word (.doc or .docx), Excel (.xls or .xlsx) PDF or ZIP files are accepted.
This information is required from all people who have travelled internationally and arrived in Australia from midnight, 15 March 2020 for the purposes of a direction made by the Director of Public Health under the Public Health Act 1997 (section16) for the purposes of managing a notifiable disease, COVID-19. Failure to provide this information is an offence against the Act and may incur a fine of up to $16,800.00 or imprisonment for a term not exceeding six months, or both.
This information is collected and will be used subject to the Personal Information Protection Act 2004 (Tas), for the purposes of assisting the Director of Public Health to exercise powers and perform functions to prevent or control the spread of a notifiable disease under the Public Health Act 1997 (Tas), namely the novel coronavirus COVID-19.