Form OCFS-6040 Covid-19 Health Screening Attestation - New York

Form OCFS-6040 Covid-19 Health Screening Attestation - New York

What Is Form OCFS-6040?

This is a legal form that was released by the New York State Office of Children and Family Services - a government authority operating within New York. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the OCFS-6040 form?
A: The OCFS-6040 form is a Covid-19 Health Screening Attestation required in New York.

Q: Who needs to complete the OCFS-6040 form?
A: Anyone entering a facility regulated by the Office of Children and Family Services (OCFS) in New York needs to complete this form.

Q: Why is the OCFS-6040 form required?
A: The form is required to ensure that individuals entering OCFS-regulated facilities are screened for Covid-19 symptoms and potential exposure.

Q: What information is included in the OCFS-6040 form?
A: The form includes questions about symptoms, recent exposure, and travel history.

Q: How often do I need to complete the OCFS-6040 form?
A: You need to complete the form each time you enter an OCFS-regulated facility.

Q: What should I do if I have symptoms or potential exposure to Covid-19?
A: If you have symptoms or potential exposure, you should not enter the OCFS-regulated facility and should follow appropriate guidelines for testing and quarantine.

Q: What happens if I do not complete the OCFS-6040 form?
A: If you do not complete the form, you may be denied entry to the OCFS-regulated facility.

Q: How long will my information be kept on the OCFS-6040 form?
A: The information on the form will be kept confidential and retained for 6 months from the date of completion.

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Form Details:

  • Released on June 1, 2021;
  • The latest edition provided by the New York State Office of Children and Family Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a printable version of Form OCFS-6040 by clicking the link below or browse more documents and templates provided by the New York State Office of Children and Family Services.

Download Form OCFS-6040 Covid-19 Health Screening Attestation - New York

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