Covid19 - Segnalazioni DGC Raccolta segnalazioni rientro da paesi a rischio covid-19

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Surname*

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Name*

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Date of birth (dd-mm-yyyy)*

email*

Enter your email address

Telephone*

Enter your telephone number

Tax Code*

Enter your tax code

Last 8 digits of the health card (team)

Enter the last 8 digits of the health card (team or national service card)

Card expiry date (dd-mm-yyyy format) *

Type of DGC (Digital Green Certificate)

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Type of Problem

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Notes (Limit of 240 characters) *

I declare that I have read the information form on the processing of personal data * Information Form

You must accept the information form and fill in all fields with*

I understand that the contact details (mobile phone number and Email) might be transmitted to the Ministry of Health for sending the OTP code required for downloading the Digital Green Certificate

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* Required fields

Azienda provinciale per i servizi sanitari della provincia autonoma di Trento

Servizio Online - Raccolta segnalazione DGC

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