Permit_and_Attachments_A-D_(Final_11_22_22).pdf

Rev. 11/22/22

Sponsors should have a copy of Rules & Regulations, if not it is the responsibility of the sponsor to request a copy from the Administration office. FAILURE TO ABIDE BY THE RULES & REGULATIONS ARE IMPOSED UPON BOTH THE SPONSOR AND GUEST (S). FIRST OFFENSE SIX (6) MONTHS SUSPENSION. SECOND OFFENSE NINE (9) MONTHS SUSPENSION.

THIRD OFFENSE ONE -TWO (1-2) YEAR SUSPENSION. Additional sanctions may be made at the discretion of the Kalaupapa Administrator.

Application for Visitor Permit

To: Administration Office, Kalaupapa Settlement DATE: ___________________

Request permission to have the following family member(s) and/or friend(s) as my guest(s) at Kalaupapa Settlement.

TRAVEL BY: PLANE TRAIL OCEAN

FROM: TO: STAYING AT:

Date of Arrival Date of Departure

Tag# Name of Guest Age (if a minor)

Print Sponsor Name(s) Phone

Sign Sponsor Name(s)

Above request is granted, Permit issued on , SUBJECT TO RULES & REGULATIONS

GOVERNING KALAUPAPA SETTLEMENT AND REVOCABLE.

ARRIVAL

DATE

Administrator, Kalaupapa Settlement

By signing, you as a sponsor assure that all Rules & Regulations are followed. Please be sure that all of your guests have read and understand the Rules of the Settlement as shown on Attachment B.

You understand the responsibility of Kalaupapa residents to be granted right of sponsorship and penalties for sponsors and their guests where rules are not followed. Sponsor understands that Permit is to be submitted three (3) BUSINESS days prior to arrival.

I/We as visitor(s) have read and understand the instruction for visitors and agree to follow them as a condition for permission to visit Kalaupapa Settlement and hereby acknowledge receiving a copy of the Rules and Regulations, including Attachments A, B, and C. If I will be driving, I will provide a copy of my driver’s license.

PRINT SIGN FULL EMERGENCY

NAME NAME ADDRESS PHONE #

Rev. 11/22/22

Sponsors should have a copy of Rules & Regulations, if not it is the responsibility of the sponsor to request a copy from the Administration office. FAILURE TO ABIDE BY THE RULES & REGULATIONS ARE IMPOSED UPON BOTH THE SPONSOR AND GUEST (S). FIRST OFFENSE SIX (6) MONTHS SUSPENSION. SECOND OFFENSE NINE (9) MONTHS SUSPENSION. THIRD OFFENSE ONE -TWO (1-2) YEAR SUSPENSION. Additional sanctions may be made at the discretion of the Kalaupapa Administrator.

Application for Service Provider Permit

To: Administration Office, Kalaupapa Settlement DATE: ___________________

Request permission to have the following person(s) at Kalaupapa Settlement as Service Provider(s) under the sponsorship of our organization .

TRAVEL BY: PLANE TRAIL OCEAN

FROM: TO: STAYING AT:

Date of Arrival Date of Departure

Tag# Name of Guest Age (if a minor)

Print Name of Sponsor Phone

Sign Sponsor Name(s)

Above request is granted, Permit issued on , SUBJECT TO RULES & REGULATIONS

GOVERNING KALAUPAPA SETTLEMENT AND REVOCABLE.

Administrator, Kalaupapa Settlement

By signing, you as a sponsor assure that all Rules & Regulations are followed. Please be sure that all of your guests have read and understand the Rules of the Settlement as shown on Attachment B. You understand the responsibility of sponsoring these individuals to enter and remain in the Settlement during the dates specified and the penalties for sponsors and their guests where rules are not followed. Sponsor understands that Permit Application is to be submitted three (3) BUSINESS days prior to arrival.

I/We as Service Provider(s) have read and understand all instructions for visitors and agree to follow them as a condition for permission to visit Kalaupapa Settlement. I/We hereby acknowledge receiving a copy of The Rules and Regulations, including Attachments A, B, C and D. If I will be driving, I will provide a copy of my driver’s license.

ARRIVAL

DATE

PRINT SIGN FULL BUSINESS EMERGENCY

NAME NAME ADDRESS PHONE #

Attachment A

Attachment A Rev 11/22/22

Sponsor Responsibilities and Penalties

Visitor permits MUST be made three (3) State Office business days or more in advance of scheduled visit. No Exceptions will be made.

Sponsors are required to pay immediately upon submittal of Visitor Permit for lodging in

All State Lodging Facilities such as Wilcox, Visitor Quarters and Cottages. Refunds will only be made if Sponsors cancels 3 days prior to guests’ arrival.

All visitors must be registered with their full name on the form provided and each form shall be complete with sponsor signature before approval. Sponsors are required to follow up if permit has been approved.

All guests/visitors must have a government-issued photo identification that includes date of birth.

Visitor passes must be picked up on a business day prior to the scheduled visit day IF the state office is closed on the visitor arrival date. Visitors arriving on the weekend must provide a copy of I.D. via email or fax to Sponsor or State Administration Office. Visitor sign in sheet must be brought to the Administration Office the first business day after the visitor’s arrival. Visitor pass/ tags must be returned immediately upon the visitor/guests departure. After hours drop box is available at the State Administration Office.

Each Sponsor is only allowed to sponsor six (6) visitors/guests at a time. As a

Sponsor you are required to be with your visitors/guests outside of Settlement boundaries.

Please provide a copy of Visitors Rules & Regulations ahead of time to your arriving guests if possible.

Sponsor(s) are responsible for all actions of visitors/guests, including infractions of

Kalaupapa rules and regulations. Please be sure to provide a copy of Visitor Rules &

Regulations to your visitors/guests. Any violations made by Visitors/guests will result in revocation of Sponsors invitation privileges as follows:

• First Offense: Will not be allowed to sponsor any guests for 6 months

• Second Offense: Will not be allowed to sponsor any guests for 9 months

• Third Offense: Will not be allowed to sponsor any guests for 12-24 months

Additional sanctions may be made at the discretion of the Kalaupapa Administrator, including permanent revocation of sponsor’s privilege to sponsor visitors, and visitor’s privilege to enter/visit Kalaupapa.

Attachment B

Attachment B Rev 11/22/22

INSTRUCTIONS FOR APPLICATION FOR VISITOR PERMIT

RULES & REGULATIONS GOVERNING ALL VISITORS TO KALAUPAPA SETTLEMENT

IF YOU ARE GOING TO BE DRIVING DURING YOUR VISIT IN KALAUPAPA, WE ASK YOU TO

USE EXTRA CAUTION SINCE MANY OF OUR RESIDENTS HAVE VISUAL AND HEARING

IMPAIRMENTS. ON OCCASION DEER AND WILD BOAR ARE IN THE SETTLEMENT. PLEASE

BE CAREFUL AND CAUTIOUS!

SPONSORS: ONLY RESIDENTS OF KALAUPAPA MAY SPONSOR GUESTS.

GUESTS/VISITORS: All visitors must present some type of government issued photo identification upon sign-in at the State Administration Office (i.e., Driver’s License, State ID, etc.)

ALL ID’s MUST HAVE BIRTH DATE ON THEM.

REGISTRATION: Registration at the - State of Hawaii - Administration Office is required of “ALL” guests. Guests are required to sign the Department of Health permit upon entering the Settlement and obtain a copy of Rules if sponsor has not provided them a copy.

Anyone visiting the Settlement without a sponsor and signed permit is TRESPASSING and subject to legal action.

MAXIMUM STAY: NO VISITOR is allowed to visit Kalaupapa Settlement more than thirteen (13) days in a calendar quarter. The maximum stay for each guest is limited to seven (7) days and (6) Nights at the Visitor’s Quarters/ Wilcox.

HOSTS/SPONSORS: Unescorted walking or riding beyond settlement property is strictly prohibited. Guests must be in the company of their sponsor at all times when outside the airport terminal area and the cattle guards beginning at the road to Kalawao (where the pavement ends and dirt road begins).

VISITATION OF

MINORS:

Children under the age of sixteen (16) are not permitted in Kalaupapa Settlement.

PHOTOGRAPHY: Photographs of patients may NOT be taken without their written permission. This includes their property. Permits may be picked up at the State of Hawaii Administration Office.

HOSPITAL: THERE ARE NO MEDICAL SERVICES AVAILABLE TO VISITORS AT

KALAUPAPA.

RESTROOMS: Public restrooms are located at the Airport Terminal, the Administration Building, Lion’s Club Ocean View Pavilion, National Park’s Kalawao Pavilion.

VISITOR’S QTR’s: Check-In 2:00PM, Check-Out 12:00 Noon Please inform Administration staff if you will need an early check-in and/or late check-out time. If you fail to notify Staff, our Housekeepers have the right to gather all your personal belongings and set it aside so that they may proceed with their duties. Please DO NOT REMOVE any items from Visitors Quarters, Wilcox or Cottages.

FOOD: There are no restaurants in Kalaupapa so it is necessary for guests to provide their own food, beverages and sundry items.

All visitor trash/garbage must be packed out when visitors leave Kalaupapa.

Visitors may purchase a soda, candy or bag of chips per day at the Kalaupapa Store, but shopping for groceries is PROHIBITED. Sponsors must provide for their visitors.

LIBRARY: The library is NOT open to the public. Please have your sponsor check with National Parks Office if you wish to use Library resources.

Removal of materials from library is strictly prohibited.

SPEED LIMITS: 15 MPH Hospital Zone and Unit Homes Drives 25 MPH within the Settlement 35 MPH outside the Settlement

**Please move onto the shoulder of the road when there is oncoming traffic.

HUNTING: Visitors are NOT PERMITTED to hunt. Visitors are NOT PERMITTED to carry firearms. Visitors may only accompany approved resident hunters after registering with Administration Office.

CAMPING: Camping is NOT ALLOWED anywhere.

USE OF NATURAL

RESOURCES:

Visitors of patient residents, visitors of employees, and short-term volunteers may only fish with poles. No NET fishing by any guests will be allowed. State and Federal fish and game rules must be respected.

Visitors MAY NOT take any marine life on behalf of patient, employee residents or resident volunteers, or exercise their privileges. No Opihi picking. Any violations of the Kalaupapa fishing policy or fish and game rules will result in the visitor being declared unwelcome and banned from future visits to Kalaupapa. No fishing equipment or the cleaning of fish is allowed in any building.

Harvesting and removal of sea salt is to be done under the supervision of sponsor. Only take what YOU need. Be mindful of others. Taking excessive amounts shall result in revocation of your visitation rights.

No diving tanks or scuba allowed. No surf boarding or boogey boards.

No diving off the pier.

NO ANIMALS: No animals of any species are allowed in the Settlement. Service animals are an exception with proper documentation present at check-in as proof. All Service animals must be properly identified with Vest and paperwork.

NO LITTERING: Please be respectful of this Makanalua Peninsula. Do your part to maintain the pristine beauty, as a steward for the ‘aina (land) and all that lives and grows here.

ATTITUDE: Honor and respect the history of those who once lived here and especially for those who still reside here and call this special place “Home.”

NO TRESPASSING: Trespassing onto personal property is strictly prohibited. This includes: any fruit, vegetable or flower picking.

ANY VIOLATION OF THESE RULES GOVERNING ALL VISITORS WILL RESULT IN

DISCIPLINARY ACTION AND SUSPENSION OF VISITATION AND SPONSORSHIP

PRIVILEGES.

VIOLATIONS OF THE KALAUPAPA FISHING POLICY SHOULD BE REPORTED TO THE

KALAUPAPA SETTLEMENT ADMINISTRATOR IMMEDIATELY FOLLOWING THE

ALLEGED VIOLATION. VIOLATIONS OF THE KALAUPAPA FISHING POLICY MAY BE

REPORTED UP TO THREE (3) MONTHS AFTER THE ALLEGED DATE OF THE INCIDENT.

ANY VIOLATION AFTER THAT TIME WILL NOT BE INVESTIGATED.

Attachment C

Attachment C Rev 11/22/22

INTERIM MODIFICATIONS - COVID-19 RELATED RULES & REGULATIONS

GOVERNING ALL VISITORS TO KALAWAO COUNTY

Effective November 22, 2022

Each Sponsor is only allowed to sponsor up to six (6) guests at a time. As a Sponsor you are required to be with your visitors/guests outside of Settlement boundaries.

MAXIMUM NUMBER OF SPONSRED GUESTS PERMITTED. The Department will allow a maximum of twenty-five (25) sponsored guests in Kalawao County/Kalaupapa Settlement, at any given time during these interim modifications. The Kalaupapa Administrator will work with all sponsors to resolve any conflicts.

NO UNVACCINATED GUESTS WILL BE PERMITTED. All guests must provide documentation of their COVID-19 vaccination status prior to their arrival. If the sponsored visitor cannot provide documentation that they will be “fully-vaccinated” against COVID-19 on the date of their planned arrival to Kalawao County/Kalaupapa Settlement, their application shall be denied. ("Fully vaccinated" in these interim modifications means that at least two weeks have passed since the individual received at least two doses of the Pfizer or Moderna vaccine, or one dose of the Johnson & Johnson vaccine.)

Attachment D

Attachment D Rev 11/22/22

INTERIM MODIFICATIONS - COVID-19 RELATED RULES & REGULATIONS

GOVERNING SERVICE PROVIDERS IN KALAWAO COUNTY

Effective November 22, 2022

The Kalaupapa Settlement Administrator can review and approve requests from organizations that have responsibilities in Kalawao County and seek to sponsor individuals who are designated by those organizations as necessary to perform essential work duties in the County. For purposes of these interim rules and regulations, “essential work duties” are those services that are vital to the health and welfare of the Kalawao County community, including, but not limited to health care, law enforcement, food, waste and wastewater, transportation, communications and information technology, food services, environmental services, utilities, and others as deemed necessary by DOH.

The Department's Kalaupapa Administrator will determine the acceptable maximum total number of service providers that will be allowed to be present in the County at any time and will work with all sponsors to resolve any scheduling conflicts. Permit approvals will be based on a variety of factors, including, but not limited to: the need for the services, the availability of housing/transportation for the workers and the ability of the sponsoring organization to provide adequate oversight - and any required COVID testing - for the sponsored workers while they are in the County.

All sponsors of services providers are required to complete an "Application for Service Provider Permit." Sponsors must include documentation of the COVID-19 vaccination status for all individuals they are proposing to sponsor with their application. If the application is approved, service providers must follow General COVID-19 Prevention Requirements in Kalawao County

If a sponsored service provider is not “fully-vaccinated” against COVID-19 (see definition in Attachment C) on the date of their planned arrival to Kalawao County/Kalaupapa Settlement, that individual will be further required to:

• prior to arrival - provide documentation of a certified, laboratory-conducted, negative COVID-19 test that was conducted within 72 hours prior of their Kalawao County/Kalaupapa Settlement arrival, and

• upon arrival - complete a COVID test conducted in Kalawao County by an approved staff member of their sponsoring organization (this is a responsibility of sponsorship), and

• during their stay - if required by the Department, complete any additional COVID tests conducted in Kalawao County by an approved staff member of their sponsoring organization.

Approved services providers that are NOT "fully-vaccinated" will ONLY be allowed to travel to their designated work sites, and shall be restricted to specified housing quarters and defined outdoor areas during their non-working hours. Individuals that are NOT "fully-vaccinated" shall have no contact with any residents of the County, except as approved by the DOH Administrator.

Should one or more individuals of any group of approved service workers NOT be "fully-vaccinated," the Department shall consider the entire group to be unvaccinated and will require ALL members of the group to be subject to the requirements for unvaccinated during their stay.