Attestation Form - New York City

Attestation Form - New York City

Attestation Form is a legal document that was released by the New York City Department of Health and Mental Hygiene - a government authority operating within New York City.

FAQ

Q: What is an Attestation Form?A: An Attestation Form is a document used to verify certain information or confirm a statement.

Q: What is the purpose of the Attestation Form in New York City?A: The purpose of the Attestation Form in New York City is to gather information related to COVID-19 symptoms and exposure for contact tracing purposes.

Q: Who is required to fill out the Attestation Form in New York City?A: Any individual entering certain industries or premises in New York City may be required to fill out the Attestation Form.

Q: What information is requested in the Attestation Form?A: The Attestation Form may ask for information such as name, contact details, recent travel history, COVID-19 symptoms, and potential exposure to the virus.

Q: Is it mandatory to fill out the Attestation Form in New York City?A: It depends on the specific industry or premises. Some places may require the completion of the form, while others may not.

Q: Can the information provided in the Attestation Form be shared with others?A: The information provided in the Attestation Form may be shared with public health officials for contact tracing purposes, but it is generally protected under privacy laws.

Q: What should I do if I have symptoms or potential exposure when filling out the Attestation Form?A: If you have symptoms or potential exposure to COVID-19, it is important to follow the guidelines provided by health officials, which may include self-isolation and contacting a healthcare professional.

Q: How long should I keep a copy of the completed Attestation Form?A: It is recommended to keep a copy of the completed Attestation Form for a reasonable period of time, as it may be needed for potential contact tracing or verification purposes.

Q: What happens if I refuse to fill out the Attestation Form?A: Refusing to fill out the Attestation Form may result in denial of entry to certain industries or premises where it is required.

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Form Details:

  • The latest edition currently provided by the New York City Department of Health and Mental Hygiene;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the New York City Department of Health and Mental Hygiene.

Download Attestation Form - New York City

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