Application for Exemption - Compassionate or Medical Grounds
This form is to be used by people:
Applying for Essential Traveller status on compassionate or medical grounds (this includes Tasmanian residents who have completed 14 days quarantine in an interstate facility applying to be exempt from an additional 14 days in quarantine in Tasmanian government provided accommodation).
- Upon arrival in Tasmania, you are required to quarantine yourself either at your residence (for Tasmanian residents) or in government provided accommodation (for non-Tasmanian residents and residents of King Island, Flinders Island and the Furneaux Group of Islands) for 14 days 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 8 of the 'Schedule Specified Persons'.
- Applications for exemption under Item 8 of the Schedule can be made using one of the following methods:
- Lodge online with this form.
Email your completed form to
- Hand your completed form to a Biosecurity Officer on your arrival to Tasmania, for forwarding to the
State Controller for assessment.
- A separate application is required for each individual, including children (if applicable).
The Tasmanian Government has declared a State of Emergency.
Note: Tasmanian residents, except for residents of King Island, Flinders Island and the Furneaux Group will be able to complete their quarantine at their residence.
All non-essential travellers arriving in Tasmania will be required to enter quarantine for 14 days in government provided accommodation on arrival in Tasmania.
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 on compassionate grounds.
I hereby apply for an exemption to the requirement to quarantine in government provided accommodation 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.
Application for exemption:
* required fields *
Please outline the reasons you believe you should be classed as a Specified Person on compassionate or medical grounds in the space belowPlease note that financial hardship is not generally a reason for exemption.Supporting Documentation
You MUST attach evidence to support your claim, eg a letter from your doctor advising that 14 days in quarantine would lead to an unusual, undeserved or disproportionate hardship. Your application won’t be considered for approval without this evidence. Upload your evidence at the bottom of this form.
Note: If you are granted an exemption, please provide the address in Tasmania where you will reside.
Please provide your mobile phone number in case we need to contact you.
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. If by Spirit if Tasmania provide the ticket number.
* You must agree that the information provided is correct to submit the form.
Upload a file here (Total file size limit is: 10MB).
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 under the Emergency Management Act 2006 from all people who have arrived in Tasmania after Friday 20 March 2020 by the State Controller. 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.
Any person that fails to comply with a requirement to quarantine or self-isolate is committing an offence.
This information is collected and will be used subject to the Personal Information Protection Act 2004 (Tas), for the purposes of assisting the State Controller 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.