Australian Capital Territory (ACT) Health Exemption Application

If you are moving to the ACT, you must provide the following documentation:

• Proof of permanent employment in the ACT (letter from employer); or proof of long term accommodation arrangements greater than six months; AND
• Two forms of ID (photo ID and proof of current address).

Applicants applying for essential worker status in construction, engineering and manufacturing MUST upload supporting documentation that provides details of the following:

• Name of project, description of project and location
• Details of Head Contractor and contact details
• Nature of the services they are performing
• Confirmation as to whether it is an ACT Government or private project
• A reference from the head contractor setting out the critical need for the services to be provided

Supporting documents can be attached in section three of this form.

If you plan to stay in paid accommodation during your time in the Australian Capital Territory (ACT), please do not book until after your exemption has been approved. The Office of the Chief Health Officer will contact you with a list of approved hotels.

For the Australian Capital Territory (ACT) paid accommodation and address fields, please enter "TBC" unless you have already booked your accommodation.

Please note that if you are approved to enter the ACT, you will need to ensure the hotel is aware you will be in quarantine and has confirmed your arrival time - particularly if arriving early. You should also be aware that you will need to book 15 nights of accommodation in order to meet the ACT's mandatory quarantine requirements.

IMPORTANT NOTE:  If your exemption is granted, this is the date you will be required to enter the ACT. The exemption will not be valid for any other date

If you are a Health Care Worker working in an ACT Hospital (Public or Private sector) we encourage you to speak with your employer in the first instance.

Exemptions will only be considered when it can be established that:

• The staff member’s role cannot be fulfilled by another individual, either local or interstate; or

• The staff member is deemed an essential worker (defined as: there would be a greater risk posed to patients and staff if the staff member was excluded from work).

For all requests please provide the following supporting documentation:

1. Identification - must provide Drivers Licence or other form of photo ID.
2. Proof of residential address (i.e recent rates notice ,lease or electricity bill)
3. Evidence of quarantine premises (if not your home address) E.g. Hotel booking confirmation.

For exemption requests please provide the following supporting documentation

1. Identification - must provide Drivers Licence or other form of photo ID.

2. Proof of residential address (i.e recent rates notice, lease or electricity bill.

3. Evidence of quarantine premises (if not your home address) E.g. Hotel booking confirmation
4. Proof of employment as an essential worker (where relevant)
5. Medical documentation (where relevant)
6. Funeral information (where relevant)

7. A Letter from the head of the organisation AT the site where you will be working in the ACT which sets out the critical need for the services to be provided and that these services can only be provided by you (where relevant)

IMPORTANT:  YOU MUST CLICK THE "SUBMIT" BUTTON BELOW TO LODGE YOUR APPLICATION ONCE ALL FIELDS ARE COMPLETED AND SUPPORTING DOCUMENTATION IS ATTACHED.

SELECT "SAVE AND RETURN" ONLY IF YOU NEED TO RETURN LATER TO COMPLETE DETAILS OR ADD SUPPORTING DOCUMENTATION.

YOUR APPLICATION CANNOT BE PROCESSED IF NOT SUBMITTED CORRECTLY.