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Mayor's COVID-19 Emergency Rule No. 15 <br />Page 5 of 18 <br /> <br />expressed in the written exemption, including any required testing <br />protocols. <br /> <br />• Medical Exemptions: Persons who travel outside of Hawai'i Island <br />for medical purposes will not be subject to quarantine upon their <br />return to Hawai'i Island as long as they submit a request to the <br />County via the above online format and provide their flight itinerary, <br />licensed physician letter or certification with the date(s) of <br />appointments that are medically necessary. If the medical traveler <br />requires a travel companion, this person must be named in the <br />doctor's letter or certification. This exemption does not apply if the <br />travel involves any non-medical related purposes. <br />• Place of Quarantine: Persons requiring paid or commercial lodging <br />while subject to the mandatory 10 day self -quarantine shall <br />designate a hotel or motel as their quarantine location. <br />• Negative test exceptions: <br />i. Pre-test with negative COVID-19 results upon arrival: <br />Persons five years or older traveling to Hawai'i County who <br />provide written confirmation of a negative test result from a <br />State approved COVID-19 test administered to the traveler <br />within 72 hours from the last leg of departure prior to arrival into <br />Hawaii County are exempt from quarantine. Children under the <br />age of five traveling with parents or guardians who have <br />negative test results are exempt from quarantine. <br /> <br />"State approved COVID-19 test" means a test to determine the <br />presence of active COVID-19 infection that has been approved <br />for use under the Department of Health. Only tests <br />administered by State "Trusted Testing Partners" shall qualify. <br />ii. Proof of full vaccination as determined by Gubernatorial <br />Proclamation. <br />iii. Pre-test with no results upon arrival: Persons who avail <br />themselves to a pre-test but do not have their results upon <br />arrival are subject to quarantine but may submit their negative <br />test result to the State by uploading such verification to <br />www.travel.hawaii.gov.