Request an alternative self-isolation plan as an individual

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Use this service to request an alternative COVID-19 self-isolation plan as an individual entering Yukon. To be completed by the traveller. If you are travelling with other people, each person should submit a request of their own.

Before you start

You need:

  • A telephone number and email address so we can contact you.

Other ways to apply

If you prefer a printable version of this form, you can download a copy here.


A note about privacy

Personal information is collected under the Access to Information and Protection of Privacy Act section 29(c) and the Ministerial Orders made under the Civil Emergency Measures Act for the purpose of assessing applications for alternative self-isolation plans and for promoting, monitoring and enforcing compliance. The information collected may be used and disclosed as per the Access to Information and Protection of Privacy Act, section 36.

For more information about the collection, use and disclosure of your personal information, please contact:

CEMA Appeal Secretariat
Telephone: 867-332-7633​
Email: cema.appeal.secretariat@gov.yk.ca

YG(6944CS) Rev.10/2020