Epidemiological card for passengers and travelers

The epidemiological card must be completed no later than 72 hours before entry into the Republic of Moldova by persons who: do not hold a COVID 19 vaccination certificate, a negative result of an RT-PCR test valid for 72 hours or a rapid antigen test valid for 48 hours, a confirmatory medical conclusion in the case of persons who have undergone COVID-19 between the 15th day and the 180th day (6 months) or a confirmatory certificate of the presence of anti-COVID-19 antibodies valid for 90 days from the date of the investigation and must comply with the self-isolation regime for 14 days.

See the video tutorial, how to fill in the epidemiological card here.

Fill in all required fields

(*) Required Fields

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General information

Traveling information

Respiratory disease and last visited countries in past 14 days

Please select any of the following symptoms *
Have you been in contact with a person with respiratory disease during the last 14 days? *

Isolation address Information

Final confirmation

General information



Traveling information



Respiratory disease and last visited countries in past 14 days



Isolation address Information



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022 721 010