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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.
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 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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